| NPI | 1033228911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN M BASTON Do 828-322-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 01284) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01284) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 01284) | |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies (Licence: NC 01284) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC 01284) | |
| 333600000X Pharmacy (Licence: NC 01284) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-08-16 |