| NPI | 1790853810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L WIGGINS President 919-735-6936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 03033) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 03033) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC 03033) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NC 03033) | |
| 333600000X Pharmacy (Licence: NC 03033) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NC 03033) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NC 03033) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-10-18 |