| NPI | 1013266048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ROWELL DANIELS Director Of Pharmacy 984-974-7744 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QX0200X Clinic/Center, Oncology (Licence: NC 12599) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2015-05-06 |