NPI | 1013015049 |
---|---|
Doing Business As | EXTENSIVE PHARMACEUTICAL SERVICES |
Entity Type | Organization |
Authorized Contact | GLENN WHITLEY Manager 252-527-1593 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NC 10268) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-09-21 |
Last Update Date | 2011-09-15 |