Organization
HOLLADAY HEALTHCARE,INC
Active
Other names
WhiteStone Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE BROWN TICKLE (DIRECTOR OF PHARMACY OPERATIONS)
(336) 760-3446
Entity
Organization
Contact information
Practice address
700 S HOLDEN RD, GREENSBORO, NC 27407-2321
(336) 547-2988
(336) 218-0014
Mailing address
700 S HOLDEN RD, GREENSBORO, NC 27407-2321
(336) 547-2988
(336) 218-0014
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
NC08240
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0346130
—
NC
Enumeration date
12/11/2006
Last updated
10/05/2017
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