| NPI | 1093919151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE GENTILE Pharmacist In Charge 866-828-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 8788) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-01-30 |