| NPI | 1396842357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GORDON BLOUNT President 252-482-2127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 01464) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC 1464) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 1464) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 1464) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-12-04 |