| NPI | 1750491445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GREGORY VP Of Pharmacy 919-544-3896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 6875) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-01-04 |