Healthcare Provider Details

I. General information

NPI: 1629370598
Provider Name (Legal Business Name): HEATHER CRAVEN SYKES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2010
Last Update Date: 11/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 CREEDMOOR RD STE 150
RALEIGH NC
27612-2158
US

IV. Provider business mailing address

6300 CREEDMOOR RD STE 150
RALEIGH NC
27612-2158
US

V. Phone/Fax

Practice location:
  • Phone: 919-870-6030
  • Fax: 919-870-7908
Mailing address:
  • Phone: 919-870-6030
  • Fax: 919-870-7908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number21214
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: