| NPI | 1649342429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND PALMER Owner/Pharmacist 251-679-9095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 110632) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-10-03 |