NPI | 1366844581 |
---|---|
Doing Business As | GASTON FAMILY HEALTH SERVICES PHARMACY AT STLC |
Entity Type | Organization |
Authorized Contact | MARVIN ALLEN Pharmacy Director 980-322-4110 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 12096) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2014-09-18 |
Last Update Date | 2015-01-30 |