| NPI | 1205470648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKANKSHA CHAUHAN Pharmacist 919-234-1037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2020-05-08 |