Organization
NORTH CAROLINA BAPTIST HOSPITAL
Active
Other names
MEDICAL PLAZA-CLEMMONS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA H SCHOMBERG PHARMD, BCPS (DIRECTOR OF PHARMACY)
(336) 713-3421
Entity
Organization
Contact information
Practice address
2311 LEWISVILLE-CLEMMONS ROAD, MEDICAL PLAZA-CLEMMONS PHARMACY, CLEMMONS, NC 27012-8905
(336) 713-0900
(336) 713-0617
Mailing address
2311 LEWISVILLE-CLEMMONS ROAD, MEDICAL PLAZA-CLEMMONS PHARMACY, CLEMMONS, NC 27012-8905
(336) 713-0900
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0347923
—
NC
01
—
11292
NCBOP
NC
Enumeration date
03/30/2012
Last updated
03/07/2023
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