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
152 S MOORE ST, SANFORD, NC 27330-4224
(919) 708-5522
(919) 777-5177
Mailing address
PO BOX 90216, RALEIGH, NC 27675-0216
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3458759
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/21/2011
Last updated
05/04/2011
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