| NPI | 1063380665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENT OSEMEKE EBHODAGHE Pharmacy Owner 336-897-3810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |