| NPI | 1770839771 |
|---|---|
| Doing Business As | TRIAD RX, INC. |
| Entity Type | Organization |
| Authorized Contact | ROBERT ROBERTS Pharmacist In Charge 251-380-7630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AL 113869) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |