Port Health Services
Pharmacy, Long Term Care Pharmacy in Greenville, NC. Organization (NPI-2).
NPI number1164033981
StatusActive
Last updated in NPPESMay 15, 2023
Details
- NPI
- 1164033981
- Entity type
- Organization (NPI-2)
- Legal business name
- Port Health Services
- Organization subpart
- No
- Enumeration date
- Aug 14, 2020
- Certification date
- May 15, 2023
- Last updated
- May 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 3336I0012X | Pharmacy, Institutional Pharmacy | – | – | |
| 3336S0011X | Pharmacy, Specialty Pharmacy | – | – |
Practice location
2602 Courtier DrGreenville, NC 27834-7818
Phone 252-752-2971 · Fax 252-757-3172
Mailing address
4300 Sapphire Ct Ste 110Greenville, NC 27834-9079
Phone 252-830-7540 · Fax 252-413-0932
Authorized official
Brett Beavers
Credentialing Manager
9192107661
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