Provider Demographics
NPI:1790088904
Name:TRIANGLE PHARMACY
Entity Type:Organization
Organization Name:TRIANGLE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:SMITH
Authorized Official - Last Name:DILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:919-544-1711
Mailing Address - Street 1:1700 EAST HIGHWAY 54
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-2197
Mailing Address - Country:US
Mailing Address - Phone:919-544-1711
Mailing Address - Fax:919-544-0381
Practice Address - Street 1:1700 EAST HIGHWAY 54
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-2197
Practice Address - Country:US
Practice Address - Phone:919-544-1711
Practice Address - Fax:919-544-0381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC105513336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy