| NPI | 1437607470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA BICKFORD Administrative Assistant 336-972-2926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24525) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |