| NPI | 1659824274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH WIGGINS Coprporation President 919-735-6936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 12912) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |