Organization
TRIAD CHOICE PHARMACY
Active
Other names
Triad Choice Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY OKAFOR (OWNER)
(336) 893-6286
Entity
Organization
Contact information
Practice address
658 WAUGHTOWN ST, WINSTON SALEM, NC 27107-2217
(336) 893-6286
(336) 893-6288
Mailing address
658 WAUGHTOWN ST, WINSTON SALEM, NC 27107-2217
(336) 893-6286
(336) 893-6288
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11648
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142449
PK
—
Enumeration date
08/23/2013
Last updated
01/05/2022
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