| NPI | 1508398991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALLEN Owner 910-565-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2018-11-26 |