Organization
NORTH CAROLINA CNTRL UNIV
Active
Other names
Student Health Services Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DOBSON (BUSINESS MANAGER)
(919) 530-7336
Entity
Organization
Contact information
Practice address
200 CAFETERIA DRIVE, DURHAM, NC 27707
(919) 530-5465
(919) 530-7968
Mailing address
PO BOX 19491, DURHAM, NC 27707-0020
(919) 530-5465
(919) 530-7968
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5196
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0326804
—
NC
01
—
2070969
PK
—
Enumeration date
03/02/2010
Last updated
12/23/2024
Update your record
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