Organization
TRIAD ADULT AND PEDIATRIC MED-GCH WENDOVER PHARMACY
Active
Parent organization
TRIAD ADULT AND PEDIATRIC MEDICINE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIAD ADULT AND PEDIATRIC MEDICINE INC
Authorized official
CHRIS LAMBETH CPHT (DEPARTMENT ADMINISTRATIVE ASSISTANT)
(336) 355-9908
Entity
Organization
Contact information
Practice address
1046 E WENDOVER AVE, GREENSBORO, NC 27405-6712
(336) 355-9908
Mailing address
1046 E WENDOVER AVE, GREENSBORO, NC 27405-6712
(336) 355-9908
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11385
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344047B
—
NC
01
—
3460588
NABP
—
Enumeration date
08/13/2014
Last updated
09/30/2014
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