NPI 1235279522

Crescent Family Practice, P.A.

Organisation Non-Pharmacy Dispensing Site Cary, NC

Practice location

Address: 1000 Crescent Green Dr Suite 202, Cary, NC 27511-8116
Phone: (919) 851-7867
Mailing address: 5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705

Authorised official

Name: Kenny Heine
Title: Director of Operations
Phone: (858) 625-2990

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence 39359 (NC)

Other Non-Pharmacy Dispensing Site providers in North Carolina →

Registry record

NPI: 1235279522
Entity type: Organization
NPI issued: 7 Feb 2007
Record last updated: 22 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.