| NPI | 1073861035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A BUXTON Deputy Director, Pharmacy Services 910-343-8736 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |