Organization
ELIZABETH CITY STATE UNIVERSITY STUDENT HEALTH SERVICES PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA MCCOY-DAVIS RN-BSN (DIRECTOR)
(252) 335-3268
Entity
Organization
Contact information
Practice address
1704 WEEKSVILLE RD, ELIZABETH CITY, NC 27909-7977
(252) 335-3267
(252) 335-3269
Mailing address
1704 WEEKSVILLE RD, ELIZABETH CITY, NC 27909-7977
(252) 335-3267
(252) 335-3269
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
09433
NC
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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