| NPI | 1659448371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON PATRICK MCCLAIN Owner 910-692-7467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 07585) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |