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Bladen Lakes Community Health Center

Organization Active NPI Community/Retail Pharmacy · Tar Heel, NC

NPI 1124298773 · NPPES record last updated Jan 18, 2022

Key facts

NPI
1124298773
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
NC10010 (NC)
Legal business name
BLADEN LAKES COMMUNITY HEALTH CENTER
Practice address
16526 NC Highway 87 W
Tar Heel, NC 28392-8608
Phone
(910) 972-5720
NPI assigned
Mar 10, 2008
Organization subpart
No

Authorized official

Name
Pamela Tripp
Title
Ceo
Phone
(910) 567-6194

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Lucy J Brown (25 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X NC10010 NC Yes

Addresses

Primary practice location

16526 NC Highway 87 W
Tar Heel, NC 28392-8608

Mailing address

16526 NC Highway 87 W
Tar Heel, NC 28392-8608

Other identifiers

IdentifierTypeStateIssuer
3410494OtherOTHER ID NUMBER

Other names

  • BLADEN LAKES COMMUNITY HEALTH CENTER Doing business as

Other providers in Tar Heel, NC

All providers in Tar Heel, NC · Community/Retail Pharmacy in North Carolina

Sources for this page

Verify at the official NPI Registry.