| NPI | 1013015049 |
|---|---|
| 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 |