Provider Demographics
NPI:1225865645
Name:MEDICAL CENTER PHARMACY OF ROCKINGHAM INC LTC
Entity type:Organization
Organization Name:MEDICAL CENTER PHARMACY OF ROCKINGHAM INC LTC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARKS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:910-997-4471
Mailing Address - Street 1:805 S LONG DR
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-4317
Mailing Address - Country:US
Mailing Address - Phone:910-997-4471
Mailing Address - Fax:910-997-4951
Practice Address - Street 1:805 S LONG DR
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-4317
Practice Address - Country:US
Practice Address - Phone:910-997-4471
Practice Address - Fax:910-997-4951
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDICAL CENTER PHARMACY OF ROCKINGHAM INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy