| NPI | 1528253945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAY STEWART Dir Of Phcy Admin 919-544-3896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 509611) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2008-04-23 |