Organization
DOROTHEA DIX HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J MICHAEL HENNIKE (SECTION CHIEF STATE OPERATED SERVIC)
(919) 855-4700
Entity
Organization
Contact information
Practice address
820 S BOYLAN AVENUE, RALEIGH, NC 27603
(919) 733-5540
(919) 733-0743
Mailing address
820 S BOYLAN AVENUE, 3601 MAIL SERVICE CENTER, RALEIGH, NC 27699-3601
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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