Organization
GROWING CHILD OFFICE MEDS INC
Active
Other names
Growing Child Office Meds
Organization subpart
No
Provider details
NPI number
Authorized official
TONY GURLEY (PHARMACY MANAGER)
(919) 215-0240
Entity
Organization
Contact information
Practice address
11130 CAPITAL BLVD, WAKE FOREST, NC 27587-4513
(919) 488-4094
(919) 488-4096
Mailing address
PO BOX 90804, RALEIGH, NC 27675-0804
(919) 215-0240
(919) 865-9998
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10569
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3420584
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/28/2010
Last updated
09/15/2010
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