Healthcare Provider Details

I. General information

NPI: 1497414197
Provider Name (Legal Business Name): THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2021
Last Update Date: 10/14/2022
Certification Date: 10/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3518 DRAWBRIDGE PKWY STE 130
GREENSBORO NC
27410-8432
US

IV. Provider business mailing address

3518 DRAWBRIDGE PKWY STE 130
GREENSBORO NC
27410-8432
US

V. Phone/Fax

Practice location:
  • Phone: 336-890-3050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ASHLEY EAST
Title or Position: PHARMACY OPERATIONS COORDINATOR
Credential: PHARM.D.
Phone: 336-890-3050