| NPI | 1427194570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GILL RIPLEY President/Owner/Manager 336-835-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 07272) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NC 07272) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-07-17 |