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
4551 NEW BERN AVE STE 160, RALEIGH, NC 27610-1552
(919) 861-7793
(919) 488-1458
Mailing address
PO BOX 90216, RALEIGH, NC 27675-0216
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
11011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3459004
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/21/2011
Last updated
07/13/2011
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