| NPI | 1265707228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE M KUGLER Administrator 910-323-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: NC 07787) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |