Organization
TRIANGLE HOME INFUSIONS LLC
Active
Other names
North State Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIPUL PATEL (PRESIDENT)
(919) 307-8460
Entity
Organization
Contact information
Practice address
3434 EDWARDS MILL RD STE 100, RALEIGH, NC 27612-4276
(984) 444-6135
(984) 204-1113
Mailing address
3434 EDWARDS MILL RD STE 100, RALEIGH, NC 27612-4276
(984) 444-6135
(984) 204-1113
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12131
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881001311
—
NC
01
—
2148835
PK
—
Enumeration date
07/16/2014
Last updated
02/24/2020
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