| NPI | 1639414915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA GRADY HILL Pharmacy Manager 252-523-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |