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CAROLINA COMPOUNDING PHARMACY & HEALTH CENTER INC

Suppliers Pharmacy Compounding Pharmacy

Provider NPI: 1689689200

Organization Information:
Organization Name:  CAROLINA COMPOUNDING PHARMACY & HEALTH CENTER INC
Organization is not Subpart
Authorized Official:  HAMID  BAKHTEYAR  CEO/OWNER  919-467-7110

Practice Location:
254 TOWNE VILLAGE DR  CARY, NC 27513-8910 US
Tel: 919-467-7110  Fax: 919-467-7976

Business Mailing Address:
254 TOWNE VILLAGE DR  CARY, NC 27513-8910 US
Tel: 919-467-7110  Fax: 919-467-7976

NPI Information:
NPI: 1689689200
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
NC09207

Other Provider Identifiers:

IssuerNumberStateType
PK206576301



American Medical Association 2012 taxonomy code information

Code: 3336C0003X

Type:

Classification:



Definition:



MEDICAL JOBS NC - Page 1

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