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Contact Information

DANNIELLE MAYO
2900 BENJAMIN CIR
RALEIGH, NC27610
 Phone: 803-667-2767
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infusion Therapy

261QI0500X
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for

NPI # 1871391177
Entity Organization
Organization subpart 1 Not specified
Enumeration date 03/04/2025
Last updated 03/04/2025 - More than a year ago
Identifiers
NC License # 338571
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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