| NPI | 1538397799 |
|---|---|
| Doing Business As | LAKE BRANDT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MONICA SPARKS BENFIELD President/Owner 336-643-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 09907) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2009-06-26 |