Organization
THE SHALOM PROJECT, INC
Active
Parent organization
THE SHALOM PROJECT, INC
Other names
The Shalom Project Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE SHALOM PROJECT, INC
Authorized official
DR. TRACY LOGGIN YEHLE PHARMD (PHARMACIST MANAGER)
(919) 451-0097
Entity
Organization
Contact information
Practice address
3185 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-3903
(919) 451-0097
Mailing address
639 S GREEN ST, WINSTON SALEM, NC 27101-5109
(919) 451-0097
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/13/2023
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