| NPI | 1023354834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY SCOTT PATTTERSON CEO 336-541-6475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NC 11465) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 16070) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2020-02-11 |