Healthcare Provider Details

I. General information

NPI: 1528991148
Provider Name (Legal Business Name): ANDREA DOBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 BLUE RIDGE RD
RALEIGH NC
27607-6423
US

IV. Provider business mailing address

2901 BLUE RIDGE RD
RALEIGH NC
27607-6423
US

V. Phone/Fax

Practice location:
  • Phone: 919-784-3105
  • Fax:
Mailing address:
  • Phone: 919-784-3105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number33276
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: