OrganizationActive
Goldsboro Wellness Center PA
NPI 1376969550 · Non-Pharmacy Dispensing Site · Goldsboro, NC
Provider details
- NPI number
- 1376969550
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Authorized official
- Kenny Heine, Vp of Operations
- License
- 30306 (NC)
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2014-03-11
- Last updated
- 2014-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.