| NPI | 1528416898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L WIGGINS Corporation President 919-735-6936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 12912) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NC 12912) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |