Organization · Type 2 NPI

NC Department of Health and Human Services, Division of Public Health

Parenteral & Enteral Nutrition Supplies (DME) · Raleigh, NC

NPI number 1194056184 Active

Practice location

5601 Six Forks Rd, Building 2
Raleigh, NC 27609-3811

Fax (919) 870-4818

Mailing address

1914 Mail Services Center
Raleigh, NC 27699-1914

Specialties and licenses

TaxonomyCodeLicense
Parenteral & Enteral Nutrition Supplies (DME) Primary 332BP3500XDME PERMIT 01609 (NC)

Parenteral & Enteral Nutrition Supplies (DME): Definition to come...

Another provider at this address

About NPI 1194056184

NC Department of Health and Human Services, Division of Public Health's National Provider Identifier is 1194056184, issued on Jan 15, 2010. The primary taxonomy on file is Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X), and the practice location is in Raleigh, NC. The record was last updated on Jan 15, 2010.