| NPI | 1497017909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MAYNE Vice President Of Finance 919-833-7534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: VA 0201002791) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |