NPI | 1659654200 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH NORMAN TATUM Pharmacist In Charge 910-739-8144 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 8804) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2011-09-20 |