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Provider Information for 1356777569


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ROBESON HEALTH CARE CORPORATION

Other Names:  
Doing Business As: 
MAXTON MEDICAL CENTER PHARMACY

Organization Subpart: NO

NPI: 1356777569
Last Updated: 2019-11-08
Certification Date:

Details

NameValue
NPI1356777569
Enumeration Date2013-09-19
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: GEORGE TIMOTHY HALL
Title: PRESIDENT/CEO
Phone: 9105212900
Mailing Address 60 COMMERCE PLAZA CIR
PEMBROKE, NC 28372-7386
United States

Phone: 910-521-2900 | Fax:910-775-9165
 
Primary Practice Address 610 E DR MARTIN LUTHER KING JR DR
MAXTON, NC 28364
United States

Phone: 910-844-5253 | Fax:910-844-3290
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 3336C0003X - Pharmacy - Community/Retail Pharmacy