Organization
THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Active
Parent organization
THA MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Other names
Wesley Long Outpatient Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
THA MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Authorized official
MR. ROBERT TIMOTHY RICE (CEO/PRESIDENT)
(336) 832-9500
Entity
Organization
Contact information
Practice address
515 N ELAM AVE, GREENSBORO, NC 27403-1118
(336) 218-5762
(336) 218-5763
Mailing address
515 N ELAM AVE, GREENSBORO, NC 27403-1118
(336) 218-5762
(336) 218-5763
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NC
333600000X
Pharmacy
11254
NC
3336C0003X
Community/Retail Pharmacy
11254
NC
3336I0012X
Institutional Pharmacy
11254
NC
3336S0011X
Specialty Pharmacy
12254
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3460007
NCPDP
NC
Enumeration date
06/21/2013
Last updated
06/21/2013
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