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Organization
GROWING CHILD OFFICE MEDS INC
Active
Organization
GROWING CHILD OFFICE MEDS INC
Active
Other names
Growing Child Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TONY GURLEY (PHARMACY MANAGER)
(919) 215-0240
Entity
Organization
Contact information
Practice address
7990 ARCO CORPORATE DR, RALEIGH, NC 27617-2029
(919) 544-5900
Mailing address
PO BOX 90216, RALEIGH, NC 27675-0216
(919) 215-0240
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
11009
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3458711
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/21/2011
Last updated
04/22/2011
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