Organization
GERIATRX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELON MARK CANTERBURY PHARMD (CEO/PRESIDENT)
(404) 484-5092
Entity
Organization
Contact information
Practice address
1655 SNOWMASS WAY, DURHAM, NC 27713-4514
(404) 484-5092
Mailing address
6409 FAYETTEVILLE RD STE 120-218, DURHAM, NC 27713-6297
(404) 484-5092
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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