| NPI | 1558353110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HORNE Owner 910-582-3585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 2506) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2017-03-24 |