| NPI | 1083023378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN TIMOTHY ROTEN Staff Pharmacist 910-256-3761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 23432) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |