| NPI | 1194874123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY GARDNER SKEEN Owner 336-228-1336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NC 02144) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2022-04-07 |