| NPI | 1629463609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT ANTHONY MEDLIN Owner 910-347-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 08864) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |