Organization
ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA
Active
Other names
Associated Urologist of NC, Inc of Raleigh
Organization subpart
No
Provider details
NPI number
Authorized official
TONY GURLEY (PHARMACY MANAGER)
(919) 215-0240
Entity
Organization
Contact information
Practice address
2800 BLUE RIDGE RD STE 405, RALEIGH, NC 27607-6476
(919) 865-4641
(919) 865-4644
Mailing address
PO BOX 90216, RALEIGH, NC 27675-0216
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11155
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3459636
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/23/2011
Last updated
02/03/2012
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