| NPI | 1790882637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DELCASTILHO Mgr/Pharm 910-347-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NC 04322) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336I0012X Pharmacy, Institutional Pharmacy | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |