Charles Drew Community Health Center Pharmacy

LBN: Piedmont Health Services, Inc
Charles Drew Community Health Center Pharmacy is an health care organization with primary practice located at 221 N Graham Hopedale Rd , Burlington NC 27217-2971. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Piedmont Health Services, Inc can be contacted via phone (336) 532-0414, or through Mason, Lydia F. via phone (919) 933-8494.

Contact Information

Primary practice address
221 N Graham Hopedale Rd Burlington NC 27217-2971
Fax: (336) 570-3752
Website:
Authorized official contact:
Name: Mason, Lydia F.

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 15707 North Carolina
Suppliers / Clinic Pharmacy 3336C0002X 06027 North Carolina

Profile Details

NPI number 1063538742
LBN Legal business name Piedmont Health Services, Inc
DBA Doing business as Charles Drew Community Health Center Pharmacy
Authorized official Mason, Lydia F.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063538742 NPPES
North Carolina MEDICAID 34-4515B
North Carolina Other 06027
North Carolina Other 3432060
North Carolina Other NC AC 0000 1130

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