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General NPI Number Information
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NPI Number | 1982973293
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Entity Type | Organization
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Legal Business Name | THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION
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Dates
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Enumeration Date | 12/16/2011
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 2630 WILLARD DAIRY RD SUITE B
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City | HIGH POINT
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State | NC
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Zip | 27265-8351
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Country | US
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Telephone | 336-884-3838
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Fax | 336-884-3840
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Provider Business Mailing Address
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Address Line | 2630 WILLARD DAIRY RD SUITE B
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City | HIGH POINT
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State | NC
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Zip | 27265-8351
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Country | US
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Telephone | 336-884-3838
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Fax | 336-884-3840
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Authorized Official
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Title or Position | SITE COORDINATOR/PIC
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Name | KIM PORTIS
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Credential | PHARM D
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Telephone | 336-884-3837
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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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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 11157
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License Number State | NC
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