Provider Demographics
NPI:1326043795
Name:BUCHANAN, GEORGE RONALD (BS IN PHARMACY)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:RONALD
Last Name:BUCHANAN
Suffix:
Gender:M
Credentials:BS IN PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:701 ROLLINGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4521
Mailing Address - Country:US
Mailing Address - Phone:336-299-7222
Mailing Address - Fax:336-294-9329
Practice Address - Street 1:803 FRIENDLY CENTER RD
Practice Address - Street 2:STE C
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-2024
Practice Address - Country:US
Practice Address - Phone:336-292-6888
Practice Address - Fax:336-294-9329
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4570183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist