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Organization

COMMUNITY CARE CENTER

Active
Other names
Med-Aid Forsyth Stokes Davie
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES TURNER ROBINSON (EXECUTIVE DIRECTOR)
(336) 760-1235
Entity
Organization

Contact information

Practice address
1900 S HAWTHORNE RD, SUITE 564, WINSTON SALEM, NC 27103-3913
(336) 714-2361
Mailing address
1900 S HAWTHORNE RD, SUITE 564, WINSTON SALEM, NC 27103-3913

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10119
NC PHARMACY PERMIT
NC
Enumeration date
04/01/2011
Last updated
04/01/2011
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