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Organization
PERSON STREET PHARMACY OF RALEIGH, INC.
Active
Organization
PERSON STREET PHARMACY OF RALEIGH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FORREST MIKE JAMES RPH (PRESIDENT/PHARMACIST)
(919) 832-6432
Entity
Organization
Contact information
Practice address
702 N PERSON ST, RALEIGH, NC 27604-1216
(919) 832-6432
(919) 833-7581
Mailing address
702 N PERSON ST, RALEIGH, NC 27604-1216
(919) 832-6432
(919) 833-7581
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
03305
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0925149
—
NC
Enumeration date
03/28/2006
Last updated
09/23/2008
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