Prosource Therapeutics LLC
NPI #1992758429 in Greenville, North Carolina
Provider Information
- NPI Number
- 1992758429
- Entity Type
- Organization
- Organization Name
- Prosource Therapeutics LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- May 18, 2006
- Last Updated
- Mar 26, 2009
Practice Location
- Address
- 102 FOX HAVEN DR
- Address 2
- SUITE A
- City
- Greenville
- State
- North Carolina
- ZIP Code
- 27858-7100
- Phone
- (252) 353-7025
Authorized Official
- Name
- MS. PHYLLIS SAUNDERS SMITH
- Title
- ADMINISTRATOR
- Phone
- (252) 353-7025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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