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General NPI Number Information
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NPI Number | 1427910264
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Entity Type | Organization
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Legal Business Name | BLACK RIVER HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 301 S CAMPBELL ST
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City | BURGAW
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State | NC
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Zip | 28425-5011
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Country | US
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Telephone | 910-259-5721
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Fax |
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Provider Business Mailing Address
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Address Line | 301 S CAMPBELL ST
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City | BURGAW
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State | NC
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Zip | 28425-5011
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Country | US
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Telephone | 910-259-5721
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER/340B DIRECTOR
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Name | DR. JANICE CHAPMAN MCDERMOTT
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Credential | PHARMD
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Telephone | 910-283-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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