Healthcare Provider Details

I. General information

NPI: 1265361786
Provider Name (Legal Business Name): MROGAN STROUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3643 N ROXBORO ST
DURHAM NC
27704-2702
US

IV. Provider business mailing address

2002 RED SAGE CT
APEX NC
27502-1798
US

V. Phone/Fax

Practice location:
  • Phone: 919-470-8253
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28874
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: