| NPI | 1780218347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELECHI COURAGE ONYIRIUKA Pharmacy Manager/Owner 336-258-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-02-22 |
| Last Update Date | 2020-09-12 |