Organization
CAROLINA FAMILY HEALTH CENTERS, INC
Active
Other names
WILSON COMMUNITY HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA OWENS PHARMD (CEO)
(252) 243-9800
Entity
Organization
Contact information
Practice address
303 GREEN ST E, WILSON, NC 27893-4105
(252) 243-1224
(252) 243-1223
Mailing address
303 GREEN ST E, WILSON, NC 27893-4105
(252) 243-1224
(252) 243-1223
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
08330
NC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2067690
PK
—
05
—
344581B
—
NC
Enumeration date
12/27/2006
Last updated
06/07/2023
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