Provider Demographics
NPI:1801837752
Name:ALAMANCE REGIONAL MEDICAL CENTER
Entity Type:Organization
Organization Name:ALAMANCE REGIONAL MEDICAL CENTER
Other - Org Name:ARMC EXTENDED CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUGGER
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:336-570-8357
Mailing Address - Street 1:1840 BROOKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-3200
Mailing Address - Country:US
Mailing Address - Phone:336-570-8357
Mailing Address - Fax:336-570-8358
Practice Address - Street 1:1840 BROOKWOOD AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-3200
Practice Address - Country:US
Practice Address - Phone:336-570-8357
Practice Address - Fax:336-570-8358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NC115423336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3400070Medicaid
2068018OtherPK