| NPI | 1083269351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDGERTON Director Of Retail & Specialty Rx 910-667-5147 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2021-02-10 |