| NPI | 1033456371 |
|---|---|
| Doing Business As | SOUTHERN VILLAGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EDWARD GAETON LEAKE Owner/Manager 919-240-4084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 11405) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2025-01-21 |