| NPI | 1033782255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIE PARKER President 252-295-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2021-07-24 |
| Last Update Date | 2023-03-21 |