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Organization

THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION

Active
Other names
MedCenter High Point Outpatient Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
KIM PORTIS PHARM D (SITE COORDINATOR/PIC)
(336) 884-3837
Entity
Organization

Contact information

Practice address
2630 WILLARD DAIRY RD, SUITE B, HIGH POINT, NC 27265-8351
(336) 884-3838
(336) 884-3840
Mailing address
2630 WILLARD DAIRY RD, SUITE B, HIGH POINT, NC 27265-8351
(336) 884-3838
(336) 884-3840

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336I0012X
Institutional Pharmacy
Primary
11157
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0418648
NC
01
2133045
PK
Enumeration date
12/16/2011
Last updated
05/07/2018
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