| NPI | 1053591305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH O'MARY Third Party Supervisor 919-544-3896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2009-03-26 |