| NPI | 1144360553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ALLEN MORTON Owner 910-298-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 05244) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |