Organization
ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC
Active
Other names
CPC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA KENT-MITCHELL (PHARMACY DIRECTOR)
(252) 332-3548
Entity
Organization
Contact information
Practice address
109 W RIVER ST, COLERAIN, NC 27924-9006
(252) 356-1377
(252) 356-2899
Mailing address
109 W RIVER ST, COLERAIN, NC 27924-9006
(252) 356-1377
(252) 356-2899
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13249
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169802
PK
—
Enumeration date
06/14/2017
Last updated
08/07/2017
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