| NPI | 1316321672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA M LEWIS Pharmacist In Charge 336-634-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NC 10335) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |