Organization
CORNERSTONE HEALTH CARE PA
Active
Other names
Cornerstone Clinical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE E TERRELL MD (PRESIDENT / CEO)
(336) 802-2400
Entity
Organization
Contact information
Practice address
1814 WESTCHESTER DRIVE, SUITE 301, HIGH POINT, NC 27262-7369
(336) 802-2588
(336) 802-2340
Mailing address
1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 27262-7254
(336) 802-2536
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB8658
RR MEDICARE
NC
01
—
CC4241
RR MEDICARE
NC
01
—
CC4243
RR MEDICARE
NC
01
—
CD6614
RR MEDICARE
NC
Enumeration date
03/19/2007
Last updated
11/02/2012
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