Organization
WAKE FOREST UNIVERSITY
Active
Other names
WAKE FOREST UNIVERSITY STUDENT HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL PRICE MD (MED DIR)
(336) 758-5218
Entity
Organization
Contact information
Practice address
LWR LEVEL REYNOLDS GYM WINGATE RD, WINSTON-SALEM, NC 27109
(336) 758-5218
(336) 758-6054
Mailing address
PO BOX 7386, WINSTON SALEM, NC 27109-6233
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
05454
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2068811
PK
—
Enumeration date
10/23/2006
Last updated
02/04/2014
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