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MEDICAL CENTER PHARMACY OF WILMINGTON INC. NPI 1194025817


NPI Information

NPI: 1194025817
Provider Name: MEDICAL CENTER PHARMACY OF WILMINGTON, INC.

Other Name: MEDICAL CENTER PHARMACY

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
912 S 16TH ST
WILMINGTON, NC
ZIP 28401
Phone: (910) 763-1896
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MEDICAL CENTER PHARMACY OF WILMINGTON, INC. is a compounding pharmacy pharmacy in Wilmington, NC. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. MEDICAL CENTER PHARMACY OF WILMINGTON, INC. NPI is 1194025817. The provider is registered as an organization entity type.
The provider Other Name Is Medical Center Pharmacy.

The provider's business location address is:

912 S 16TH ST
WILMINGTON, NC
ZIP 28401-016
Phone: (910) 763-1896
Fax: (910) 763-1709

The provider's authorized official is Henry Herring .
The authorized official title is Pharmacist/president and has the following contact phone number (910) 763-1896.

The enumeration date for this NPI number is 10/28/2010 and was last updated on 10/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0004XPharmacyCompounding Pharmacy05247NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10397990001MEDICARE NSCNORTH CAROLINA
20655753MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.