Mt Olive Family Medicine Center

Organization Non-Pharmacy Dispensing Site · NPI 1639491038

Mt Olive Family Medicine Center is a Non-Pharmacy Dispensing Site in Mount Olive, North Carolina. Licensed in North Carolina. Registered with an NPI since 2010.

Licensed in: NC
In the registry since: 2010

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Practice location Address checks out

201 N Breazeale Ave
Mount Olive, NC 28365-1603
Phone: (919) 658-4954

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary)	Taxonomy 332900000X · Licence 9801525 (NC)

Record details

NPI number	1639491038
Entity type	Organization (Type 2)
Organization subpart	Yes
Parent organization	Medvantx, Inc
Authorized official	Kenny Heine — Sr. Director Of Operations · (858) 625-2990
NPI enumerated	February 26, 2010
Last updated in NPPES	October 23, 2012
Mailing address	5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705