| NPI | 1417329228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WILLIAM DEHART President 251-405-3099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 114539) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-11-04 |