| NPI | 1093949844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON MCCLAIN President 910-315-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 10278) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |