| NPI | 1710396924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY HALLISEY Pharmacy Director 336-355-9912 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 10671) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |