Organization
TRIAD ADULT AND PEDIATRIC MEDICINE INC
Active
Other names
Triad Adult and Pediatric Medicine-High Point Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HALLISEY (PHARMACY DIRECTOR)
(336) 355-9908
Entity
Organization
Contact information
Practice address
624 QUAKER LN, STE 100C, HIGH POINT, NC 27262-3832
(336) 878-6033
(336) 878-6058
Mailing address
624 QUAKER LN, STE 100C, HIGH POINT, NC 27262-3832
(336) 878-6033
(336) 878-6058
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10671
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135962
PK
—
05
—
344044B
—
NC
Enumeration date
03/31/2011
Last updated
06/25/2015
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