| NPI | 1013319235 |
|---|---|
| Doing Business As | WSSU WELLNESS CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BEVERLY IRBY Executive Director 3367-509-8814 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 12125) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2017-04-21 |