| NPI | 1215553508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY MARTIN Owner 910-452-7098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-07-03 |