| NPI | 1801427711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONDA H PUGH Chief Executive Officer 252-794-1835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2022-09-13 |