Organization · Type 2 NPI

Northern Hospital of Surry County

Clinic Pharmacy · Elkin, NC

NPI number 1588099022 Active

Practice location

110 Dutchman Ct
Elkin, NC 28621-2237

Call (336) 835-5330 Map

Fax (336) 526-1399

Mailing address

PO Box 1101
Mount Airy, NC 27030-1101

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	11612 (NC)

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

15 other providers at this address

NPI record

NPI: 1588099022
Entity type: Organization (Type 2)
Issued: Sep 3, 2013
Last updated: Mar 9, 2021
Status: Active
Subpart: Yes of Northern Hospital District of Surry County

Other names

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Revival A Department of Northern Hospital · doing business as
Revival A Department of Northern Hospital · doing business as

Authorized official

Mrs. Robin Hodgin, RN, MHA
V. President of Patient Services &
(336) 719-7019

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1588099022

Northern Hospital of Surry County's National Provider Identifier is 1588099022, issued on Sep 3, 2013. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Elkin, NC. The record was last updated on Mar 9, 2021.