Organization · NPI-2

Bertie County Rural Health Association

Pharmacy, Clinic Pharmacy · Windsor, NC

NPI number1801427711
StatusActive
Last updated in NPPESSep 13, 2022

Details

NPI
1801427711
Entity type
Organization (NPI-2)
Legal business name
Bertie County Rural Health Association
Organization subpart
No
Enumeration date
Jan 29, 2020
Certification date
Sep 13, 2022
Last updated
Sep 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0002X Pharmacy, Clinic Pharmacy––Yes
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Windsor Community Health Center Pharmacy (Doing Business As)

Practice location

104 Rhodes Ave
Windsor, NC 27983-9656

Phone 252-794-3042

Mailing address

Po Box 628
Windsor, NC 27983-0628

Phone 252-794-1835

Authorized official

Shavonda H Pugh
Chief Executive Officer
2527941835

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