Organization
JABEZ HOME INFUSION COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES T COWART RPH (VICE PRESIDENT)
(252) 758-9304
Entity
Organization
Contact information
Practice address
2495 HEMBY LN, SUITE B, GREENVILLE, NC 27834-3771
(252) 758-9304
(252) 758-6904
Mailing address
2495 HEMBY LN, SUITE B, GREENVILLE, NC 27834-3771
(252) 758-9304
(252) 758-6904
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
HC2291
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046JV
BCBS DME PROVIDER #
NC
Enumeration date
08/17/2006
Last updated
08/22/2020
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