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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