Organization
RXCAROLINA
Active
Other names
Adams Farm Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SYAM BANDI (PHARMACY MANAGER)
(336) 632-4141
Entity
Organization
Contact information
Practice address
5710 W GATE CITY BLVD, Z, GREENSBORO, NC 27407-7061
(336) 632-4141
(336) 632-4135
Mailing address
5710 W GATE CITY BLVD, Z, GREENSBORO, NC 27407-7061
(336) 632-4141
(336) 632-4135
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11275
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418664
—
NC
01
—
2135896
PK
—
Enumeration date
07/04/2012
Last updated
06/09/2016
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