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MEDTECH PHARMACY LLC NPI 1447656400


NPI Information

NPI: 1447656400
Provider Name: MEDTECH PHARMACY, LLC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
426 GALLIMORE DAIRY RD STE 100
GREENSBORO, NC
ZIP 27409
Phone: (336) 252-2640
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MEDTECH PHARMACY, LLC is a long term care pharmacy pharmacy in Greensboro, NC. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MEDTECH PHARMACY, LLC NPI is 1447656400. The provider is registered as an organization entity type.

The provider's business location address is:

426 GALLIMORE DAIRY RD STE 100
GREENSBORO, NC
ZIP 27409-548
Phone: (336) 252-2640
Fax: (336) 285-7237

The provider's authorized official is Martin Willing .
The authorized official title is Chief Operating Officer and has the following contact phone number (502) 423-7525.

The enumeration date for this NPI number is 11/18/2014 and was last updated on 12/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care Pharmacy12147NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11447656400MEDICAIDNORTH CAROLINA
27431350001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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