| NPI | 1104202373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMOOR ASIF Pharmacist 336-744-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 24286) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-11-02 |