Organization
VAXON LLC
Active
Organization
VAXON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM FADALY (CEO)
(919) 756-7886
Entity
Organization
Contact information
Practice address
4057 REUNION CREEK PKWY, APEX, NC 27539-9209
(919) 887-7999
(828) 282-2442
Mailing address
3201 EDWARDS MILL RD STE 141, RALEIGH, NC 27612-5371
(919) 756-7886
(828) 282-2442
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
05/12/2020
Last updated
09/06/2023
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