Organization
PINEHURST MEDICAL CLINIC INC
Active
Other names
Pinehurst Medical Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG CROWE (PHARMACY MANAGER)
(910) 692-2064
Entity
Organization
Contact information
Practice address
15 REGIONAL DR, 2ND FLOOR LOBBY, PINEHURST, NC 28374-8850
(910) 235-3204
(910) 235-3410
Mailing address
15 REGIONAL DR, 2ND FLOOR LOBBY, PINEHURST, NC 28374-8850
(910) 235-3204
(910) 235-3410
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10639
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0635716
—
NC
01
—
2127708
PK
—
Enumeration date
12/02/2010
Last updated
03/01/2017
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