Organization
ROCKY MOUNT OIC FAMILY MEDICAL CENTER
Active
Parent organization
MEDVANTX, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC
Authorized official
KENNY HEINE (DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
111 S FAIRVIEW RD, ROCKY MOUNT, NC 27801-6971
(252) 446-3333
Mailing address
5810 NANCY RIDGE DR, 100, SAN DIEGO, CA 92121-2834
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
35786
NC
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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