Healthcare Provider Details

I. General information

NPI: 1497049555
Provider Name (Legal Business Name): PLANNED PARENTHOOD HEALTH SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2011
Last Update Date: 06/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S BOYLAN AVE
RALEIGH NC
27603-1802
US

IV. Provider business mailing address

100 S BOYLAN AVE
RALEIGH NC
27603-1802
US

V. Phone/Fax

Practice location:
  • Phone: 919-833-7534
  • Fax: 919-833-0730
Mailing address:
  • Phone: 919-833-7534
  • Fax: 919-833-0730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: STEVEN MAYNE
Title or Position: VP OF FINANCE
Credential:
Phone: 919-833-7534