| NPI | 1366088932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE THOMAS HOUSTON Owner/Pharmacy Manager 910-892-2114 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |