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Organization
TARGET
Active
Organization
TARGET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEA MANIGO (DISTRICT MANAGER)
(843) 425-5751
Entity
Organization
Contact information
Practice address
1212 BRIDFORD PKWY, GREENSBORO, NC 27407-2645
(336) 856-1298
Mailing address
1212 BRIDFORD PKWY, GREENSBORO, NC 27407-2645
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23265
NC
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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