| NPI | 1235504234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA SWANNER SMITH Director Of Pharmacy Services 888-459-2382 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NC 12157) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |