Healthcare Provider Details

I. General information

NPI: 1942236641
Provider Name (Legal Business Name): PITT COUNTY MEMORIAL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 08/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 STANTONSBURG RD
GREENVILLE NC
27834-2818
US

IV. Provider business mailing address

PO BOX 6028
GREENVILLE NC
27835-6028
US

V. Phone/Fax

Practice location:
  • Phone: 252-847-4481
  • Fax: 252-847-8061
Mailing address:
  • Phone: 252-847-4481
  • Fax: 252-847-8061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number02331
License Number StateNC

VIII. Authorized Official

Name: JOHN STALLINGS
Title or Position: PHARMACY SERVISES ADMIN
Credential: RPH
Phone: 252-847-4481