| NPI | 1205161148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL DAWSON Pharmacist 336-268-1556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 10358) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2013-05-16 |