| NPI | 1588099022 |
|---|---|
| Doing Business As | REVIVAL A DEPARTMENT OF NORTHERN HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | ROBIN HODGIN V. President Of Patient Services & 336-719-7019 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NC 11612) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2021-03-09 |