| NPI | 1083001671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL CANDORA Regional Administrative Contact 919-981-6253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24477) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |