| NPI | 1588795488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ELLIS President 252-943-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 04520) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2011-09-26 |