| NPI | 1720377724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY HALLISEY Pharmacy Director 336-355-9908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 10670) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2015-06-24 |