| NPI | 1790729549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY SHAW CEO And VP 910-987-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NC 09194) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |