National Provider Identifier Database

NORTH CAROLINA A T STATE UNIVERSITY
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

NORTH CAROLINA A T STATE UNIVERSITY
112. N. BENBOW ROAD
GREENSBORO, NC27411-0001
Phone: 336-285-2908
Fax: 336-256-2903
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Institutional Pharmacy 3336I0012X

* Indicates primary specialty

NPI Profile & details for NORTH CAROLINA A T STATE UNIVERSITY

NPI Number 1114234903
Legal business name
LBN
NORTH CAROLINA A T STATE UNIVERSITY
Authorized official BANNIE HATCH - (PHARMACY MANAGER)
Entity Organization
Organization subpart No
Enumeration date 09/01/2010
Last updated 05/27/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 04312
  • Other: 3421358 NCPDP PROVIDER IDENTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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