| NPI | 1750627931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOMA SAKR MOUNA President 336-760-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NC 11459) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2014-11-19 |