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NPI Code Detail

MEDICARE: CAROLINAS MEDICAL CENTER

MEDICARE: CAROLINAS MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0002XClinic Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23435193OTHERNABP#
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427164052
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROLINAS MEDICAL CENTER
Provider Business Mailing Address
First Line : PO BOX 602452
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-2452
Country : US
Telephone Number : 704-446-0902
Fax Number : 704-446-0968
Provider Business Practice Location Address
First Line : 251 EASTWAY DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28213-7103
Country : US
Telephone Number : 704-446-0902
Fax Number : 704-446-0968
Authorized Official
Title or Position : CHIEF PHARMACY OFFICER
Name : MR. DON MABE
Credential : RPH, MBA, MHA
Telephone Number : 704-512-6967
Provider Enumeration Date : 08/23/2006
Last Update Date : 09/27/2021

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Directions to “CAROLINAS MEDICAL CENTER ” Practice Location

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