| NPI | 1124344056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORENTHAL JAMES CARTER Pharmacist 251-404-3387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA 018123) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AL 15447) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |