Organization
RANDLEMAN PLAZA PHARMACY
Active
Other names
Randleman Plaza Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HUONG NI (PHARMACY MANAGER)
(336) 263-0603
Entity
Organization
Contact information
Practice address
3230 RANDLEMAN RD STE C, GREENSBORO, NC 27406-6566
(336) 763-6878
(336) 763-2789
Mailing address
3230 RANDLEMAN RD STE C, GREENSBORO, NC 27406-6566
(336) 763-6878
(336) 763-2789
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12954
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160039
PK
—
Enumeration date
04/18/2016
Last updated
06/24/2016
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