Organization
CUMBERLAND COUNTY HOSPITAL SYSTEM INC
Active
Other names
THE PAVILION PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BART FISER (VP OF MANAGED CARE AND REV CYCLE)
(910) 615-5572
Entity
Organization
Contact information
Practice address
6387 RAMSEY ST, STE 130, FAYETTEVILLE, NC 28311-9441
(910) 615-3900
(910) 321-6220
Mailing address
6387 RAMSEY ST, STE 130, FAYETTEVILLE, NC 28311-9441
(910) 615-3900
(910) 321-6220
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09241
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3405467
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/25/2006
Last updated
07/17/2025
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