Organization
PENDER MEMORIAL HOSPITAL INC
Active
Other names
PENDER MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WILLETS RPH (DIR OF PHCY)
(910) 259-0704
Entity
Organization
Contact information
Practice address
507 E FREMONT ST, BURGAW, NC 28425-5131
(910) 259-0704
(910) 259-9420
Mailing address
507 E FREMONT ST, BURGAW, NC 28425-5131
(910) 259-0704
(910) 259-9420
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
02290
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0715078
—
NC
01
—
2065212
PK
—
Enumeration date
12/13/2006
Last updated
05/13/2016
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