| NPI | 1114611266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZAN NADIMI KALANTAR Pharmacy Manager 919-346-6689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-06-02 |