Provider Demographics
NPI:1265854053
Name:MEDISUITE
Entity Type:Organization
Organization Name:MEDISUITE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RIKARD
Authorized Official - Middle Name:
Authorized Official - Last Name:AKHTARZAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-200-6952
Mailing Address - Street 1:160 MACGREGOR PINES DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-6036
Mailing Address - Country:US
Mailing Address - Phone:919-200-6952
Mailing Address - Fax:919-200-6951
Practice Address - Street 1:160 MACGREGOR PINES DR
Practice Address - Street 2:SUITE 110
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6036
Practice Address - Country:US
Practice Address - Phone:919-200-6952
Practice Address - Fax:919-200-6951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-13
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy