NPI | 1376619205 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLEY JAMES DEUEL Owner Manager Pharmacist 251-478-7607 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 103167) |
Enumeration Date | 2006-11-24 |
Last Update Date | 2008-04-18 |