Organization
TRIAD ADULT AND PEDIATRIC MED- GREENSBORO 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
MS. AMY HALLISEY RPH (PHARMACY DIRECTOR)
(336) 355-9912
Entity
Organization
Contact information
Practice address
1002 S EUGENE ST, GREENSBORO, NC 27406-1308
(336) 355-9909
(336) 676-6170
Mailing address
1002 S EUGENE ST, GREENSBORO, NC 27406-1308
(336) 355-9909
(336) 676-6170
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
106710
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344045B
—
NC
Enumeration date
08/13/2014
Last updated
09/30/2014
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