Organization
METROLINA PAIN CLINIC DISPENSARY
Active
Parent organization
PHYSICIANS CHOICE DISPENSING SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIANS CHOICE DISPENSING SERVICES
Authorized official
MS. CICELY EASON (EXECUTIVE ADMINISTRATOR)
(954) 935-6063
Entity
Organization
Contact information
Practice address
6300 E INDEPENDENCE BLVD., SUITE B, CHARLOTTE, NC 28212
(704) 568-9133
Mailing address
PO BOX 4688, FORT LAUDERDALE, FL 33338-4688
(954) 376-7313
(954) 697-0153
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
13919
NC
Other
Enumeration date
03/03/2008
Last updated
05/07/2008
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