| NPI | 1548253628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L BOWMAN Pharmacist/Owner 919-603-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 08460) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NC 08460) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2025-09-11 |