| NPI | 1700024528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN M. FAIRCLOTH Pharmacy Director 910-892-4124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 10233) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2016-01-04 |