| NPI | 1104265271 |
|---|---|
| Doing Business As | WESLEY LONG OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT TIMOTHY RICE CEO/President 336-832-9500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NC 11254) |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 11254) | |
| 3336I0012X Pharmacy Institutional Pharmacy (Licence: NC 11254) | |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: NC 12254) | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |