| NPI | 1003489840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN ENGELEN Managing Member 919-260-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-20 |