| NPI | 1043405459 |
|---|---|
| Doing Business As | LAKE BRANDT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MONICA BENFIELD President 336-643-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 09907) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2011-05-16 |