| NPI | 1104986710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY COBLE HALL President 336-342-9175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 4859) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2025-06-19 |