| NPI | 1386752053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD HEATON President/Phamacist 252-453-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 3336C0003X) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 1160) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC 1160) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 1160) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-04-14 |