| NPI | 1700105525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MARTIN LESTER President 251-435-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: AL 113284) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |