Healthcare Provider Details

I. General information

NPI: 1093750226
Provider Name (Legal Business Name): GREER LABORATORIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 08/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

639 NUWAY CIRCLE NE
LENOIR NC
28645
US

IV. Provider business mailing address

PO BOX 800
LENOIR NC
28645-0800
US

V. Phone/Fax

Practice location:
  • Phone: 800-438-0088
  • Fax: 828-757-1230
Mailing address:
  • Phone: 800-438-0088
  • Fax: 828-757-1230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number08255
License Number StateNC

VIII. Authorized Official

Name: ANTHONY PALOMBO
Title or Position: CFO
Credential:
Phone: 828-754-1049