Organization
TRIAD RX, INC.
Active
Other names
Triad Rx, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ROBERTS (PHARMACIST IN CHARGE)
(251) 380-7630
Entity
Organization
Contact information
Practice address
26258 POLLARD RD, DAPHNE, AL 36526-4250
(251) 380-7630
(251) 380-7631
Mailing address
PO BOX 1530, DAPHNE, AL 36526-1530
(251) 380-7630
(251) 380-7631
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
113869
AL
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0138049
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/27/2012
Last updated
07/27/2012
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