Organization
WESTERN WAKE MEDICAL CENTER PHARMACY
Active
Parent organization
WAKEMED
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAKEMED
Authorized official
MR. MICHAEL D DEVAUGHN CPA (SR VP AND CFO)
(919) 350-8000
Entity
Organization
Contact information
Practice address
1900 KILDAIRE FARM RD, CARY, NC 27511-6616
(919) 350-2300
Mailing address
1900 KILDAIRE FARM RD, CARY, NC 27511-6616
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
05371
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0349W
BCBS
NC
Enumeration date
06/28/2006
Last updated
03/22/2010
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