| NPI | 1265495410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES THOMAS COWART Pharmacy Manager/Co Owner 252-758-9304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NC 08132) |
| Additional Taxonomies | 251F00000X Home Infusion (Licence: NC 08132) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 08132) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2013-01-15 |