| NPI | 1386247807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BENSON Pharmacy Manager 919-200-6952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |