| NPI | 1528089463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA B LAND Owner 336-635-6450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 05651) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |