| NPI | 1801290523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN MCCONAGHY Owner 251-604-1687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 114414) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |