| NPI | 1043093339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN J STEPHENS Owner 910-738-7865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |