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Organization

BLACK MOUNTIN NUERO MEDICAL TREATMENT CENTER

Active
Other names
BLACK MOUNTAIN CENTER PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
NORM MASTERSON RPH (PHARMACY DIRECTOR)
(828) 259-6745
Entity
Organization

Contact information

Practice address
932 OLD US HWY 70 W, BLACK MOUNTAIN, NC 28711-2547
(828) 259-6745
(828) 259-6680
Mailing address
CBO DHHS CONTROLLERS OFC, 2021 MAIL SERVICE CENTER, RALEIGH, NC 27699-0001
(919) 733-9867
(919) 733-1512

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
02267
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2065189
PK
Enumeration date
01/03/2007
Last updated
03/07/2024
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