| NPI | 1043369028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DENNIS BRIDGERS Owner 252-633-9689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 02484) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |