Organization · Type 2 NPI
Vidant Medical Group LLC
Non-Pharmacy Dispensing Site · Ahoskie, NC
NPI number
1659742690
Active
Practice location
226 Academy St S
Ahoskie, NC 27910-2451
Mailing address
9276 Scranton Rd, Suite 100
San Diego, CA 92121-7701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | 2010-01183 (NC) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Another provider at this address
About NPI 1659742690
Vidant Medical Group LLC's National Provider Identifier is 1659742690, issued on Oct 16, 2015. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Ahoskie, NC. The record was last updated on Oct 16, 2015.