| NPI | 1538373824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA LYNN JONES Billing Manager 910-642-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2011-06-28 |