NCC203030_Contact Update Record_20210803

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Selkane, Aziza 8/3/2021 2:42:50 PM (Contact Changes Submitted)

Certificate of NCC203030
Coverage (COC) Enter the Certificate of Coverage N.mber (Use capital letters)
No.*
NC Reference No. NCG01-2020-3030
Original NOI No.* 28324
Project information associated with this permit (cannot change):
Permittee Listed
Organizaiton cannot be changed (new OOC required)
United Therapeutics Corporation
Project Name
United Therapeutics Demolition
Address
2 Maughan Drive, Durham, NC
County
Durham
Latitude
35.9108
Longitude
-78.8700
Date COC Issued*
07/17/2020
Prior Rescission
This field will populate only if OOC has already been rescinded.
Date
Which Contacts
F Billing Only
Have Changed?*
f Legally Responsible Individual Only
f Site Contact Only
r BOTH Legally Responsible Individual and Site Contact
Has Billing Contact
Choose'Yes'torevise Billing Contact details.
Changed?
r No
r Yes
Billing Email
NEW Billing Email
[e-mail]
Billing Telephone
No.
NEW Billing
202-919-4056
Telephone No.
(Optional)
Change Requested
Elena Garcias-Ketnouvong
by: *
Include any additional correspondence records in the Pepository OOCfolder.
Additional Information
for this update to contact information:

Addional
Explanation
(Optional)
Date * 08/03/2021