| NPI | 1649350943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN L. GEDDINGS Manager 919-220-5372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NC 200000184104) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2009-11-17 |