Provider Demographics
NPI:1396086401
Name:EAST CAROLINA UNIVERSITY
Entity type:Organization
Organization Name:EAST CAROLINA UNIVERSITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:S
Authorized Official - Last Name:PARISH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:252-744-1846
Mailing Address - Street 1:600 MOYE BLVD
Mailing Address - Street 2:BRODY 3E142
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834
Mailing Address - Country:US
Mailing Address - Phone:252-744-2536
Mailing Address - Fax:252-744-5512
Practice Address - Street 1:600 MOYE BLVD
Practice Address - Street 2:BRODY MODULE F
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834
Practice Address - Country:US
Practice Address - Phone:252-744-2536
Practice Address - Fax:252-744-5512
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ECU PHYSICIANS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC261QX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology