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NPI Code Detail

MEDICARE: DR. COURTNEY AUBURN GERGANOUS PHARMD

MEDICARE: DR. COURTNEY AUBURN GERGANOUS PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist26073NC

General Provider Information

NPI Number : 1376068056
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COURTNEY AUBURN GERGANOUS PHARMD
Provider Business Mailing Address
First Line : 2203 WAYNE MEMORIAL DR
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-1723
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2203 WAYNE MEMORIAL DR
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-1723
Country : US
Telephone Number : 919-731-7105
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2017
Last Update Date : 08/03/2017

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