| NPI | 1437290947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED GILBERT GUPTON President 919-496-3543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 05191) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 05191) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC 05191) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 05191) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-08-07 |