Wssu Wellness Center Pharmacy

NPI 1013319235 - Clinic/Center - 261QS1000X

NPI Details
NPI 1013319235
Enumeration Date 09/18/2014
Last Updated 06/09/2016
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BEVERLY BEVERLY
Position EXECUTIVE DIRECTOR
Phone (336) 750-3376
Fax
Practice Location
601 S MARTIN LUTHER KING JR DR
SUITE 244
WINSTON SALEM NC, 27110-0003, US
Phone (336) 750-3376
Fax
Business Location
601 S MARTIN LUTHER KING JR DR
SUITE 244
WINSTON SALEM NC, 27110-0003, US
Phone (336) 750-3376
Fax
Toxanomy
Taxonomy Code 261QS1000X
License State
License Number
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According to our database, Wssu Wellness Center Pharmacy NPI is 1013319235, taxonomy code is 261QS1000X Wssu Wellness Center Pharmacy physically located at 601 S Martin Luther King Jr Dr, Winston Salem NC, 27110-0003. NPI Number 1033115704 has the healthcare provider type.

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1013319235 NPI number is provided on an as is basis without warranty of any kind. 1013319235 is maintained by the National Plan & Provider Enumeration System. The contents of Wssu Wellness Center Pharmacy are for informational purposes only.