| NPI | 1659722080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLY SIMIT PATEL Pharmacy Manager 910-739-7511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 25789) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |