Organization
BLACK MOUNTIN NUERO MEDICAL TREATMENT CENTER
Active
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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