Healthcare Provider Details

I. General information

NPI: 1255609806
Provider Name (Legal Business Name): W& I SONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2011
Last Update Date: 12/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 W WILLIAMS ST
APEX NC
27502-5201
US

IV. Provider business mailing address

904 W WILLIAMS ST
APEX NC
27502-5201
US

V. Phone/Fax

Practice location:
  • Phone: 919-629-7146
  • Fax:
Mailing address:
  • Phone: 919-629-7146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number11152
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier11152
Identifier TypeOTHER
Identifier StateNC
Identifier IssuerNORTH CAROLINA BOARD OF PHARMACY

VIII. Authorized Official

Name: MR. WILLIAM MAGARIRA
Title or Position: PHARMACIST MANAGER
Credential: RPH
Phone: 919-629-7146