Organization
FOOTHILLS RX LLC
Active
Other names
Tridentcarerx
Organization subpart
No
Provider details
NPI number
Authorized official
ED SALYARDS (DIRECTOR / OWNER)
(828) 855-9767
Entity
Organization
Contact information
Practice address
910 TATE BLVD SE STE 111, HICKORY, NC 28602-4030
(828) 855-9767
Mailing address
910 TATE BLVD SE, SUITE 111, HICKORY, NC 28602-4030
(828) 855-9767
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155901
PK
—
Enumeration date
12/08/2015
Last updated
05/11/2016
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