| 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 |