| NPI | 1033527783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL CANDORA Regional Administrative Contact 919-981-6253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22735) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |