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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 Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for NORTH CAROLINA A T STATE UNIVERSITY

NPI # 1114234903
LBN Legal business name NORTH CAROLINA A T STATE UNIVERSITY
Authorized official BANNIE HATCH - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2010
Last updated 05/27/2016 - About 10 years ago
Identifiers
NC License # 04312
Other 3421358 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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