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Contact Information

CHERRY HOSPITAL STATE OF NORTH CAROLINA
1401 WEST ASH STREET
GOLDSBORO, NC27530
 Phone: 919-947-7408
 Fax: 919-705-5182
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CHERRY HOSPITAL STATE OF NORTH CAROLINA

NPI Number 1740332097
LBN Legal business name CHERRY HOSPITAL STATE OF NORTH CAROLINA
Authorized official DERRICK LLOYD - (BUDGET OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/17/2007
Last updated 10/17/2024 - More than a year ago
Identifiers
NC License # 02656
NC Medicaid 344003
Other 2065905 PK
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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