Triad Adult And Pediatric Med - Gch Wendover Pharmacy
LBN: Triad Adult And Pediatric Medicine Inc
Triad Adult And Pediatric Med - Gch Wendover Pharmacy is an health care organization with primary practice located at 1046 E Wendover Ave , Greensboro NC 27405-6712. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Triad Adult And Pediatric Medicine Inc can be contacted via phone (336) 355-9908, or through Hallisey, Amy via phone (336) 355-9908.
Contact Information
Primary practice address
1046 E Wendover Ave
Greensboro NC 27405-6712
Phone: (336) 355-9908
Fax: (336) 275-1033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 11385 | North Carolina |
Profile Details
| NPI number | 1235483785 |
|---|---|
| LBN Legal business name | Triad Adult And Pediatric Medicine Inc |
| DBA Doing business as | Triad Adult And Pediatric Med - Gch Wendover Pharmacy |
| Authorized official | Hallisey, Amy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 6th, 2012 |
| Last updated | Jun 18th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235483785 | NPPES |
| North Carolina | MEDICAID | 344047B | |
| North Carolina | Other | 2137806 |
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