Organization
OBERRY CENTER
Active
Other names
OBERRY CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA DAWSON RPH (PHARM AND MGR)
(919) 581-4686
Entity
Organization
Contact information
Practice address
400 OLD SMITHFIELD RD, GOLDSBORO, NC 27530-8464
(919) 581-4686
(919) 581-4689
Mailing address
2021 MAIL SERVICE CTR, DHHS CONTROLLERS OFFICE, RALEIGH, NC 27699-2000
(919) 581-4686
(919) 581-4689
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
02815
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2066138
PK
—
05
—
3406028
—
NC
Enumeration date
12/29/2006
Last updated
03/07/2024
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