| NPI | 1780729376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE WASHINGTON DAVIS Pharmacist Manager 252-514-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 5941) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 5941) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC 5941) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2025-09-11 |