| NPI | 1093005217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE H KILLINGSWORTH Member/Manager 252-229-8124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 10999) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2012-10-02 |