Provider Demographics
NPI:1619266194
Name:THE EDWIN MORGAN CENTER
Entity Type:Organization
Organization Name:THE EDWIN MORGAN CENTER
Other - Org Name:EDWIN MORGAN CENTER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:D
Authorized Official - Last Name:PRACHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-291-7000
Mailing Address - Street 1:PO BOX 1915
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28353-1915
Mailing Address - Country:US
Mailing Address - Phone:910-291-7266
Mailing Address - Fax:910-277-7424
Practice Address - Street 1:517 PEDEN ST
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-3707
Practice Address - Country:US
Practice Address - Phone:910-291-7266
Practice Address - Fax:910-277-7424
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE EDWIN MORGAN CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy