| Gmc Pharmacy At Jacksonville | |
|
158 Memorial Ct Jacksonville NC 28546-6322 | |
| (910) 267-0421 | |
| (910) 267-0441 |
| Full Name | Gmc Pharmacy At Jacksonville |
|---|---|
| Speciality | Clinic/Center |
| Location | 158 Memorial Ct, Jacksonville, North Carolina |
| Authorized Official Name and Position | Gregory M Bounds (CEO) |
| Authorized Official Contact | 9102671237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gmc Pharmacy At Jacksonville Po Box 187 Faison NC 28341-0187 Ph: (910) 267-2057 | Gmc Pharmacy At Jacksonville 158 Memorial Ct Jacksonville NC 28546-6322 Ph: (910) 267-0421 |
| NPI Number | 1801676994 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 08/02/2024 |
| Medicare PECOS PAC ID | 3173434479 |
|---|---|
| Medicare Enrollment ID | O20231110002104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801676994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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