| NPI | 1114192358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA H SCHOMBERG Director Of Pharmacy 336-713-3421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 10039) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 17329) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: VA 0214001868) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2019-10-24 |