Provider Demographics
NPI:1962831115
Name:SKEEN, NANCY GARDNER (RPH)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:GARDNER
Last Name:SKEEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 VAUGHN RD STE K
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217-2919
Mailing Address - Country:US
Mailing Address - Phone:336-228-1336
Mailing Address - Fax:336-227-0764
Practice Address - Street 1:1610 VAUGHN RD STE K
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-2919
Practice Address - Country:US
Practice Address - Phone:336-228-1336
Practice Address - Fax:336-227-0764
Is Sole Proprietor?:No
Enumeration Date:2013-11-08
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC06782183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist