Provider Demographics
| NPI: | 1679337778 |
|---|---|
| Name: | HEALTHWISE PHARMACY OF GREENVILLE INC |
| Entity type: | Organization |
| Organization Name: | HEALTHWISE PHARMACY OF GREENVILLE INC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OPERATIONS MANAGER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | ELISABETH |
| Authorized Official - Middle Name: | C |
| Authorized Official - Last Name: | MORRIS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 252-752-0338 |
| Mailing Address - Street 1: | 615B S MEMORIAL DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | GREENVILLE |
| Mailing Address - State: | NC |
| Mailing Address - Zip Code: | 27834-2856 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 252-752-0338 |
| Mailing Address - Fax: | 252-752-4555 |
| Practice Address - Street 1: | 615B S MEMORIAL DR |
| Practice Address - Street 2: | |
| Practice Address - City: | GREENVILLE |
| Practice Address - State: | NC |
| Practice Address - Zip Code: | 27834-2856 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 252-752-0338 |
| Practice Address - Fax: | 252-752-4555 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | HEALTHWISE PHARMACY OF GREENVILLE INC |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2024-02-08 |
| Last Update Date: | 2025-08-25 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 3336L0003X | Suppliers | Pharmacy | Long Term Care Pharmacy |