| NPI | 1386784932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY B HAMMOND Supervising Pharmacist 251-418-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 112440) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2014-06-24 |