Organization
MISSION HOSPITAL INC
Active
Other names
Mission Pharmacy - Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY GENTILCORE (DIRECTOR OF RETAIL PHARMACY)
(828) 213-0068
Entity
Organization
Contact information
Practice address
21 HOSPITAL DR, FIRST FLOOR, ASHEVILLE, NC 28801
(828) 213-2950
(828) 213-2951
Mailing address
21 HOSPITAL DR, FIRST FLOOR, ASHEVILLE, NC 28801-4550
(828) 213-2950
(828) 213-2951
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
11071
NC
3336C0003X
Community/Retail Pharmacy
Primary
11071
NC
3336S0011X
Specialty Pharmacy
11071
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3459357
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/10/2011
Last updated
06/27/2018
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