Organization
EAST CAROLINA UNIVERSITY
Active
Other names
LEO JENKINS CANCER CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY JACKSON PHARMD (PHARMACY DIRECTOR)
(252) 744-5990
Entity
Organization
Contact information
Practice address
600 MOYE BLVD, ROOM 240, GREENVILLE, NC 27834-4300
(252) 744-4602
(252) 744-4603
Mailing address
PO BOX 75514, CHARLOTTE, NC 28275-0514
(252) 744-5990
(252) 744-2709
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
06182
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2065857
PK
—
05
—
745978
—
NC
Enumeration date
08/23/2006
Last updated
03/06/2017
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