Organization
TARGET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TARA MELTON MS (CERTIFIED PHARMACY TECH)
(919) 372-1406
Entity
Organization
Contact information
Practice address
1201 BEAVER CREEK COMMONS DR, APEX, NC 27502-3922
(919) 372-1406
(919) 629-2353
Mailing address
1201 BEAVER CREEK COMMONS DR, APEX, NC 27502-3922
(919) 372-1406
(919) 629-2353
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27592
NC
Other
Enumeration date
01/31/2015
Last updated
01/31/2015
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