| NPI | 1134120017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK W MCADAMS President 336-226-1619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: 00086) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2015-07-31 |