Organization
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Active
Other names
Wesley Long Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY STARKEY BS PHARM (MANAGER)
(336) 632-4794
Entity
Organization
Contact information
Practice address
515 N ELAM AVE, GREENSBORO, NC 27403-1118
(336) 218-5762
(336) 218-5763
Mailing address
515 N ELAM AVE, GREENSBORO, NC 27403-1118
(336) 218-5762
(336) 218-5763
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11254
NC
3336I0012X
Institutional Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0347907
—
NC
01
—
2135175
PK
—
Enumeration date
05/18/2012
Last updated
05/07/2018
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