| NPI | 1700509908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD BENJAMIN MCNEILL Member/ Manager 910-815-3122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-09-22 |