| NPI | 1558719278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH COLEMAN District Pharmacy Manager 251-360-9482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: AL 19156) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |