Organization
CENTRAL COMPOUNDING CENTER SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BURCH (OWNER/PHARMACIST)
(919) 484-7600
Entity
Organization
Contact information
Practice address
6224 FAYETTEVILLE RD, DURHAM, NC 27713-6288
(919) 484-7600
Mailing address
6224 FAYETTEVILLE RD, DURHAM, NC 27713-6288
(919) 484-7600
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
09277
NC
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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