Organization
BERTIE COUNTY RURAL HEALTH ASSOCIATION
Active
Organization
BERTIE COUNTY RURAL HEALTH ASSOCIATION
Active
Other names
Windsor Community Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVONDA H PUGH (CHIEF EXECUTIVE OFFICER)
(252) 794-1835
Entity
Organization
Contact information
Practice address
104 RHODES AVE, WINDSOR, NC 27983-9656
(252) 794-3042
Mailing address
PO BOX 628, WINDSOR, NC 27983-0628
(252) 794-1835
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
01/29/2020
Last updated
09/13/2022
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