| 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 |