NPI | 1235483785 |
---|---|
Doing Business As | TRIAD ADULT AND PEDIATRIC MED - GCH WENDOVER PHARMACY |
Entity Type | Organization |
Authorized Contact | AMY HALLISEY Pharmacy Director 336-355-9908 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 11385) |
Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
Enumeration Date | 2012-11-06 |
Last Update Date | 2015-06-18 |