Organization
TRI COUNTY COMPOUNDING INC
Active
Other names
Tri-County Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSH HANEY PHARMD (RX MANAGER)
(704) 922-3001
Entity
Organization
Contact information
Practice address
111A N HOFFMAN ST, DALLAS, NC 28034-1597
(704) 922-3001
(704) 922-0060
Mailing address
111A N HOFFMAN ST, DALLAS, NC 28034-1597
(704) 922-3001
(704) 922-0060
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13359
NC
3336S0011X
Specialty Pharmacy
13359
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13359
PHARMACY PERMIT
NC
Enumeration date
09/20/2017
Last updated
07/21/2022
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