Healthcare Provider Details

I. General information

NPI: 1417461682
Provider Name (Legal Business Name): VIGILINT EXPEDITIONARY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2017
Last Update Date: 01/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 PERIMETER PARK DR STE G
MORRISVILLE NC
27560-8725
US

IV. Provider business mailing address

900 PERIMETER PARK DR STE G
MORRISVILLE NC
27560-8725
US

V. Phone/Fax

Practice location:
  • Phone: 919-914-0904
  • Fax: 919-914-0904
Mailing address:
  • Phone: 919-914-0904
  • Fax: 919-914-0904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RANDALL JOSEPH SWEENEY
Title or Position: DIRECTOR, PHARMACY OPERATIONS
Credential: PHARMD
Phone: 919-573-4744