| NPI | 1316069941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SPIVEY SHELBURNE Owner 910-640-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: NC 08468) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2023-03-07 |