| NPI | 1790882637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DELCASTILHO Mgr/Pharm 910-347-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NC 04322) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-09-11 |