Organization
GOSHEN MEDICAL CENTER INCORPORATED
Active
Other names
GMC Pharmacy at Beulaville
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M BOUNDS (CEO)
(910) 267-1237
Entity
Organization
Contact information
Practice address
119 CROSSOVER RD, BEULAVILLE, NC 28518-8801
(910) 597-4455
Mailing address
PO BOX 187, FAISON, NC 28341-0187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Enumeration date
05/19/2022
Last updated
04/10/2023
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