Provider Demographics
NPI:1194384792
Name:DUNAWAYS INC
Entity Type:Organization
Organization Name:DUNAWAYS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:RAUCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-865-9480
Mailing Address - Street 1:102 HIDDEN PASTURES DR STE 106
Mailing Address - Street 2:
Mailing Address - City:CRAMERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28032-1697
Mailing Address - Country:US
Mailing Address - Phone:704-865-9480
Mailing Address - Fax:704-865-5480
Practice Address - Street 1:1351 ROBINWOOD RD STE 2
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-6114
Practice Address - Country:US
Practice Address - Phone:704-865-9480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EDGEWAY PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-07
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy