| NPI | 1548368426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM OWENS Pharmacy Manager 910-642-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 04935) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2018-06-06 |