Raleigh Family Practice, P.a.
Non-pharmacy Dispensing Site
4414 Lake Boone Trl, 502, Raleigh
North Carolina, 27607-7513
919-875-0539 Raleigh Family Practice, P.a. is a Non-pharmacy Dispensing Site in Raleigh, North Carolina. This organization is also known as sub part of Medvantx Inc. It is located at 4414 Lake Boone Trl, 502, Raleigh and it's customer support contact number is 919-875-0539. The authorized person of Raleigh Family Practice, P.a. is Kenny Heine who is Director Of Operations of the pharmacy and his contact number is 858-625-2990. Active license number of Raleigh Family Practice, P.a. is 23998 for Non-pharmacy Dispensing Site in North Carolina.
Raleigh Family Practice, P.a. 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 Family Practice, P.a. 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 Family Practice, P.a. |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 4414 Lake Boone Trl, 502, Raleigh,
North Carolina, 27607-7513 |
| Phone: | 919-875-0539 |
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: | 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: | 1255592283 |
| Parent Organization: | Medvantx Inc |
| NPI Enumeration Date: | 23 Jun, 2008 |
| NPI Last Update On: | 22 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 Raleigh Family Practice, P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 23998 | 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 Family Practice, P.a. at
4414 Lake Boone Trl, 502, Raleigh, North Carolina or can
call on customer care at 919-875-0539.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.