Healthcare Provider Details

I. General information

NPI: 1669500450
Provider Name (Legal Business Name): PIEDMONT HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 01/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 S 10TH AVE
SILER CITY NC
27344-2779
US

IV. Provider business mailing address

224 S 10TH AVE
SILER CITY NC
27344-2779
US

V. Phone/Fax

Practice location:
  • Phone: 919-663-0348
  • Fax: 919-663-0368
Mailing address:
  • Phone: 919-663-0348
  • Fax: 919-663-0368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number08882
License Number StateNC

VIII. Authorized Official

Name: HIEU PHAM
Title or Position: PHARMACIST
Credential:
Phone: 919-663-0348