NPI | 1093476277 |
---|---|
Doing Business As | MAST FAMILY DRUG LTC |
Entity Type | Organization |
Authorized Contact | RICHARD I FLYE President 252-438-3112 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2022-01-10 |
Last Update Date | 2022-08-26 |