Healthcare Provider Details

I. General information

NPI: 1104220748
Provider Name (Legal Business Name): RX FOR HEALTHY SOLUTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2014
Last Update Date: 09/22/2020
Certification Date: 09/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6635 FALLS OF NEUSE RD
RALEIGH NC
27615-6816
US

IV. Provider business mailing address

6635 FALLS OF NEUSE RD
RALEIGH NC
27615-6816
US

V. Phone/Fax

Practice location:
  • Phone: 919-676-6161
  • Fax: 919-676-6575
Mailing address:
  • Phone: 919-676-6161
  • Fax: 919-676-6575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number07829
License Number StateNC

VIII. Authorized Official

Name: BOBBIE BARBREY
Title or Position: OWNER/PRESIDENT
Credential: RPH, CCN
Phone: 919-676-6161