| NPI | 1720044720 |
|---|---|
| Doing Business As | PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KELLY DENNY CLAIBORNE Member/Manager 919-693-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 10023) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2024-10-07 |