Provider Demographics
NPI:1093750226
Name:GREER LABORATORIES INC.
Entity Type:Organization
Organization Name:GREER LABORATORIES INC.
Other - Org Name:PRESCRIPTION IMMUNOTHERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:PALOMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-754-1049
Mailing Address - Street 1:PO BOX 800
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-0800
Mailing Address - Country:US
Mailing Address - Phone:800-438-0088
Mailing Address - Fax:828-757-1230
Practice Address - Street 1:639 NUWAY CIRCLE NE
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645
Practice Address - Country:US
Practice Address - Phone:800-438-0088
Practice Address - Fax:828-757-1230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC082553336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3401065OtherNCPDP PROVIDER IDENTIFICATION NUMBER