| NPI | 1225443294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORTNEY DENEAN Secretary 919-904-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 11815) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |