| NPI | 1699187765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL WARREN PATTERSON President 336-853-2744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2014-05-23 |