| NPI | 1154617918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LAYNE Vice President 336-627-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2020-02-07 |