| NPI | 1679638167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY STEVEN ADKINS Owner/Manager 919-847-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NC 11200) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 9307) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2023-03-07 |