| NPI | 1104984111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MITCHELL President 251-432-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: AL 112884) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: AL 112884) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |