| NPI | 1386904886 |
|---|---|
| Doing Business As | WESLEY LONG OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANDY STARKEY Manager 336-632-4794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 11254) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336I0012X Pharmacy, Institutional Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2018-05-07 |