| NPI | 1427081439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE P ELLISON President 919-735-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 09270) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC 09270) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 09270) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 09270) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-10-23 |