| NPI | 1487063996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CATLIN STATON Pharmacist In Charge 251-424-1487 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AL 114395) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |