| NPI | 1558598458 |
|---|---|
| Doing Business As | PHARMACY SERVICE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DENNIS GADDY President 251-621-0433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: AL 113275) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2011-02-11 |