Prosource Therapeutics, LLC
NPI #1720225014 in Tarboro, North Carolina
Provider Information
- NPI Number
- 1720225014
- Entity Type
- Organization
- Organization Name
- Prosource Therapeutics, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jan 8, 2009
- Last Updated
- Jan 8, 2009
Practice Location
- Address
- 201 E PITT ST
- City
- Tarboro
- State
- North Carolina
- ZIP Code
- 27886-5192
- Phone
- (252) 353-7025
Authorized Official
- Name
- FELICIA SMITH
- Title
- ADMINISTRATOR
- Phone
- (252) 353-7025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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