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 |