| NPI | 1104026673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVETTE C JENKINS Medical Director 336-641-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: NC 09024) |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty |
| 261QP0905X Clinic/Center Public Health, State or Local | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |