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Contact Information

DOROTHEA DIX HOSPITAL PHARMACY
820 S BOYLAN AVE
RALEIGH, NC27603-2246
 Phone: 919-733-5266
 Fax: 919-733-1544
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DOROTHEA DIX HOSPITAL PHARMACY

NPI # 1518014679
LBN Legal business name DOROTHEA DIX HOSPITAL PHARMACY
Authorized official GINGER UPDEGRAVE - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2007
Last updated 04/15/2008 - About 18 years ago
Identifiers
NC License # 02600
NC Medicaid 344001
Other 3409922 OTHER ID NUMBER
Other 3409922 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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