| NPI | 1730478827 |
|---|---|
| Doing Business As | SOUTHERN PHARMACY SERVICES WINSTON-SALEM |
| Entity Type | Organization |
| Authorized Contact | CHAD TERRY Co President 866-768-8479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NC 10965) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2014-10-24 |