| NPI | 1386897460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE HOUSTON Pharmacy Manager 910-892-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 4852) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |