| NPI | 1346335494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE SMITH Pharmacist Manager 252-442-5126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 01519) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01519) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: NC 01519) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 01519) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 01519) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-11-26 |