OrganizationActive
Blood and Cancer Clinic, PA
NPI 1174747711 · Non-Pharmacy Dispensing Site · Fayetteville, NC
Provider details
- NPI number
- 1174747711
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Shirish Devasthali, President(910) 483-8586
Specialties & taxonomies
Suppliers
Practice location
2125 Valleygate Dr
Suite 101
Fayetteville, NC 28304-3657
Phone: (910) 483-8586
Fax: (910) 483-9212
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 53095
Fayetteville, NC 28305-3095
Registry dates
- Enumerated
- 2007-04-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.