Organization
BROUGHTON HOSPITAL
Active
Other names
BROUGHTON HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN STREATER BS PHARM (CEO)
(828) 433-2325
Entity
Organization
Contact information
Practice address
1000 S STERLING ST, MORGANTON, NC 28655-3938
(828) 433-2509
(828) 433-2180
Mailing address
CENTRAL BILLING OFFICE DHHS CONTROLLERS OFC, 2021 MAIL SERVICE CENTER, RALEIGH, NC 27699-0001
(919) 733-9867
(919) 733-1512
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
02601
NC
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2066474
PK
—
05
—
340-4025
—
NC
Enumeration date
12/28/2006
Last updated
03/07/2024
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