| NPI | 1811042476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WHITEHEAD Pharmacy Manager 252-384-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 09117) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |