Healthcare Provider Details

I. General information

NPI: 1114065513
Provider Name (Legal Business Name): APEX FAMILY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 03/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 BLUE RIDGE RD
RALEIGH NC
27607-0111
US

IV. Provider business mailing address

2601 BLUE RIDGE RD
RALEIGH NC
27607-0111
US

V. Phone/Fax

Practice location:
  • Phone: 919-781-7986
  • Fax: 919-781-1833
Mailing address:
  • Phone: 919-781-7986
  • Fax: 919-781-1833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number09471
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: WENDY HAUN
Title or Position: OWNER PHARMACIST
Credential: RPH
Phone: 919-781-7986