Provider Demographics
NPI:1053533810
Name:TRIANGLE COMPOUNDING PHARMACY INC
Entity type:Organization
Organization Name:TRIANGLE COMPOUNDING PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:MACK
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:919-858-0809
Mailing Address - Street 1:3700 REGENCY PARKWAY
Mailing Address - Street 2:STE 140
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7412
Mailing Address - Country:US
Mailing Address - Phone:919-858-0809
Mailing Address - Fax:919-858-5145
Practice Address - Street 1:3700 REGENCY PKWY
Practice Address - Street 2:STE 140
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-8696
Practice Address - Country:US
Practice Address - Phone:919-858-0809
Practice Address - Fax:919-858-5145
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PANACEA BIOMATX INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-02
Last Update Date:2016-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15485183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty