Healthcare Provider Details

I. General information

NPI: 1134194707
Provider Name (Legal Business Name): GURLEYS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 W MAIN ST
DURHAM NC
27701
US

IV. Provider business mailing address

114 W MAIN ST
DURHAM NC
27701
US

V. Phone/Fax

Practice location:
  • Phone: 919-688-8978
  • Fax: 919-688-8072
Mailing address:
  • Phone: 919-688-8978
  • Fax: 919-688-8072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number09145
License Number StateNC

VIII. Authorized Official

Name: MR. DANNY C GURLEY
Title or Position: VP
Credential:
Phone: 919-688-8978