| NPI | 1255896015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENESE ANDERSON PEED Pharmacist/Owner 910-862-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-05-02 |