Raleigh Durham Medical Group Pa
Non-pharmacy Dispensing Site
2076 Highway 42 West, Suite 230, Clayton
North Carolina, 27520
919-553-5711 Raleigh Durham Medical Group Pa is a Non-pharmacy Dispensing Site in Clayton, North Carolina. This organization is also known as sub part of Medvantx, Inc.. It is located at 2076 Highway 42 West, Suite 230, Clayton and it's customer support contact number is 919-553-5711. The authorized person of Raleigh Durham Medical Group Pa is Kenny Heine who is Vp Of Operations of the pharmacy and his contact number is 858-964-1506. Active license number of Raleigh Durham Medical Group Pa is 200400430 for Non-pharmacy Dispensing Site in North Carolina.
Raleigh Durham Medical Group Pa 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:
Raleigh Durham Medical Group Pa 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: | Raleigh Durham Medical Group Pa |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 2076 Highway 42 West, Suite 230, Clayton,
North Carolina, 27520 |
| Phone: | 919-553-5711 |
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: | Vp Of Operations |
| Contact Number: | 858-964-1506 |
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: | 1164865416 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 16 Apr, 2013 |
| NPI Last Update On: | 16 Apr, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Raleigh Durham Medical Group Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 200400430 | 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 Raleigh Durham Medical Group Pa at
2076 Highway 42 West, Suite 230, Clayton, North Carolina or can
call on customer care at 919-553-5711.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.