| NPI | 1477163285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FINNY JOSEPH Member 919-212-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2025-02-04 |