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Organization

HAYES-BARTON INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROMAS T WHITE III RPH (PRESIDENT)
(919) 835-0457
Entity
Organization

Contact information

Practice address
2000 FAIRVIEW RD, RALEIGH, NC 27608-2316
(919) 835-0457
Mailing address
2000 FAIRVIEW RD, RALEIGH, NC 27608-2316
(919) 835-0457

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5149
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
272127
MEDICARE GROUP/ORGANIZATION PTAN
NC
Enumeration date
11/21/2008
Last updated
11/21/2008
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