NPI | 1083672059 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD JAMES SHOKES President 828-322-4505 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 3132) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-05-01 |
Last Update Date | 2011-05-24 |