Lakewood Pediatrics And Family Medicine
Non-pharmacy Dispensing Site
4003 N Roxboro St, Durham
North Carolina, 27704-2119
919-220-6317 Lakewood Pediatrics And Family Medicine is not a DME supplier for medicare equipments and products.
Lakewood Pediatrics And Family Medicine is a Non-pharmacy Dispensing Site in Durham, North Carolina. This organization is also known as sub part of Medvantx, Inc.. It is located at 4003 N Roxboro St, Durham and it's customer support contact number is 919-220-6317. The authorized person of Lakewood Pediatrics And Family Medicine is Kenny Heine who is Sr. Director Of Operations of the pharmacy and his contact number is 858-625-2990. Active license number of Lakewood Pediatrics And Family Medicine is 200300427 for Non-pharmacy Dispensing Site in North Carolina.
Lakewood Pediatrics And Family Medicine is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Lakewood Pediatrics And Family Medicine type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Lakewood Pediatrics And Family Medicine |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 4003 N Roxboro St, Durham, North Carolina, 27704-2119 |
| Phone: | 919-220-6317 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kenny Heine |
| Position: | Sr. Director Of Operations |
| Contact Number: | 858-625-2990 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1881911840 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 29 Apr, 2010 |
| NPI Last Update On: | 23 Oct, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lakewood Pediatrics And Family Medicine are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 200300427 | North Carolina | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5626 Oberlin Dr, Suite 110 San Diego, California |
| Zip: | 92121-1705 |
| Phone Number: | -- |
Patients can reach Lakewood Pediatrics And Family Medicine at
4003 N Roxboro St, Durham, North Carolina or can
call on customer care at 919-220-6317.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.