NPI | 1013769629 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT TURNER BEAVERS Credentialing Manager 919-210-7661 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
3336L0003X Pharmacy Long Term Care Pharmacy | |
3336S0011X Pharmacy Specialty Pharmacy | |
Enumeration Date | 2024-04-05 |
Last Update Date | 2024-04-05 |