Organization
BLUE RIDGE REGIONAL HOSPITAL
Active
Parent organization
MISSION HEALTH SYSTEM
Other names
Mission Pharmacy - Blue Ridge
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSION HEALTH SYSTEM
Authorized official
TIMOTHY GENTILCORE (DIRECTOR)
(828) 213-0048
Entity
Organization
Contact information
Practice address
189 HOSPITAL DR, SPRUCE PINE, NC 28777
(828) 213-0048
Mailing address
509 BILTMORE AVE, A158, ASHEVILLE, NC 28801-4601
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12542
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12542
NORTH CAROLINA BOARD OF PHARMACY
NC
Enumeration date
03/25/2015
Last updated
03/25/2015
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