MEDICARE: DR. DANA RENEE GRIFFIN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	17671	NC

General Provider Information

NPI Number	:	1427378553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANA RENEE GRIFFIN PHARMD

Provider Business Mailing Address
First Line	:	6140 FALLS OF NEUSE RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-3528
Country	:	US
Telephone Number	:	919-876-7286
Fax Number	:	919-875-0974

Provider Business Practice Location Address
First Line	:	6140 FALLS OF NEUSE RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-3528
Country	:	US
Telephone Number	:	919-876-7286
Fax Number	:	919-875-0974

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2010
Last Update Date	:	06/11/2010

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