Organization
EAST CAROLINA UNIVERSITY
Active
Other names
FAMILY PRACTICE CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY JACKSON PHARMD (DIRECTOR OF PHARMACY SERVICES)
(252) 744-5990
Entity
Organization
Contact information
Practice address
101 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-5507
(252) 744-3804
Mailing address
PO BOX 75514, CHARLOTTE, NC 28275-0514
(252) 744-0483
(252) 744-2709
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
03751
NC
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0745364
—
NC
01
—
2069202
PK
—
Enumeration date
01/10/2007
Last updated
04/19/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us