Organization
PINK MOON WIGS AND HAIR COLLECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD LOUIS MCCORKELL (OWNER)
(919) 916-9737
Entity
Organization
Contact information
Practice address
201 SHANNON OAKS CIR, SUITE 200, CARY, NC 27511-5570
(919) 916-9737
Mailing address
201 SHANNON OAKS CIR, SUITE 200, CARY, NC 27511-5570
(919) 753-3469
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/01/2015
Last updated
08/12/2015
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