Organization
INNOVATIVE PROGRAMMING ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE COLEY (BILLING SUPERVISOR)
(910) 483-0734
Entity
Organization
Contact information
Practice address
1023 HIGHWAY 17 S, SUITE 1, ELIZABETH CITY, NC 27909-9070
(910) 483-0734
Mailing address
111 LAMON ST STE 201, FAYETTEVILLE, NC 28301-4957
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900982
—
NC
Enumeration date
03/07/2007
Last updated
08/22/2020
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