| NPI | 1629502109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH BAUCOM CROUCH Staff Pharmacist 336-855-1942 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 5190) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |