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Organization
TRIAD RX, INC.
Active
Organization
TRIAD RX, INC.
Active
Other names
Triad Rx, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ROBERTS (PHARMACIST IN CHARGE)
(251) 380-7630
Entity
Organization
Contact information
Practice address
26258 POLLARD RD, DAPHNE, AL 36526-4250
(251) 380-7630
(251) 380-7631
Mailing address
PO BOX 1530, DAPHNE, AL 36526-1530
(251) 380-7630
(251) 380-7631
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
113869
AL
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0138049
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/27/2012
Last updated
07/27/2012
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