| NPI | 1053450049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J MICHAEL HENNIKE Section Chief State Operated Servic 919-855-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |