Organization Name: | TRIAD ADULT AND PEDIATRIC MEDICINE INC |
NPI Number: | 1023318961 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN ELLERBY (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 624 Quaker Ln Ste 100c High Point |
State: | NC US |
Postal Code: | 272623832 |
Phone Number: | 3368786027 |
Fax Number: | 3368786189 |
NPI Enumeration Date: | 10/26/2010 |
NPI Last Update Date: | 08/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0002X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Clinic Pharmacy |
Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |