| NPI | 1649661497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FELTS Pharmacist 919-623-2246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NC 13682) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: VA 0202011042) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |