| NPI | 1649563727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY SCOTT SCHLEY Pharmacy Manager 919-467-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 07635) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND 3036) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |