Organization
GABEN
Active
Other names
Knightdale Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SEGMIA KENNA TOHNYA PHARM.D. (PHARMACY DIRECTOR)
(443) 621-4271
Entity
Organization
Contact information
Practice address
6602 KNIGHTDALE BLVD, SUITE 120, KNIGHTDALE, NC 27545-6525
(919) 295-1112
(919) 295-1164
Mailing address
6602 KNIGHTDALE BLVD, SUITE 120, KNIGHTDALE, NC 27545-6525
(919) 295-1112
(919) 295-1164
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11174
NC
Other
Enumeration date
12/20/2011
Last updated
02/05/2013
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