| NPI | 1619022928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRIET LOUIS LADAS Pharmacist 251-432-5601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 105940) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 105940) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-06-14 |