Provider Demographics
NPI:1417461682
Name:VIGILINT EXPEDITIONARY SOLUTIONS
Entity Type:Organization
Organization Name:VIGILINT EXPEDITIONARY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, PHARMACY OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:919-573-4744
Mailing Address - Street 1:900 PERIMETER PARK DR STE G
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8725
Mailing Address - Country:US
Mailing Address - Phone:919-914-0904
Mailing Address - Fax:919-914-0904
Practice Address - Street 1:900 PERIMETER PARK DR STE G
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-8725
Practice Address - Country:US
Practice Address - Phone:919-914-0904
Practice Address - Fax:919-914-0904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-27
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care