Black River Health Services INC
NPI #1508266826 in Burgaw, North Carolina
Provider Information
- NPI Number
- 1508266826
- Entity Type
- Organization
- Organization Name
- Black River Health Services INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Aug 25, 2014
- Last Updated
- Aug 25, 2014
Practice Location
- Address
- 301 S CAMPBELL ST
- City
- Burgaw
- State
- North Carolina
- ZIP Code
- 28425-5011
- Phone
- (910) 259-5721
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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