| NPI | 1467907816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL CANDORA Regional Administrative Contact 919-981-6253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |