Eastern Medical Associates
Non-Pharmacy Dispensing Site in Goldsboro, NC. Organization (NPI-2).
NPI number1861728792
StatusActive
Last updated in NPPESDec 30, 2013
Details
- NPI
- 1861728792
- Entity type
- Organization (NPI-2)
- Legal business name
- Eastern Medical Associates
- Organization subpart
- Yes
- Enumeration date
- Oct 28, 2009
- Last updated
- Dec 30, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | 9300226 | NC | Yes |
Practice location
2609 Medical Office PlGoldsboro, NC 27534-9428
Phone 919-734-1779
Mailing address
5626 Oberlin DrSuite 110
San Diego, CA 92121-1705
Authorized official
Kenny Heine
Vp Of Operations
8586252990
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