| NPI | 1316079247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA H SCHOMBERG Director Of Pharmacy 336-716-3421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 08424) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: SC 1027933) |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: VA 0214001594) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2019-10-24 |