| NPI | 1417336686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANOZIE NEBOLISA President 910-286-5905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NC 22109) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2022-09-01 |