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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