| NPI | 1386943785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOESPH MCLAUGHLIN President 252-639-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 10988) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: NC 6431660002) |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: NC 6431660002) | |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2016-01-11 |