Organization
CENTURY CARE PEN THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E GILLIAM (PRESIDENT)
(919) 467-8686
Entity
Organization
Contact information
Practice address
130 EDINBURGH SOUTH DR, SUITE 208, CARY, NC 27511-7902
(919) 467-8686
(919) 467-9109
Mailing address
130 EDINBURGH SOUTH DR, SUITE 208, CARY, NC 27511-7902
(919) 467-8686
(919) 467-9109
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
000460726
NC
Other
Enumeration date
03/09/2006
Last updated
09/06/2013
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