| NPI | 1740377613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE DILLARD Rph 919-544-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 03201) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-07-06 |