| NPI | 1548679749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS LAMBETH Department Administrative Assistant 336-355-9908 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 11385) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-09-30 |