| NPI | 1811247257 |
|---|---|
| Doing Business As | PROFESSIONAL SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUSAN BOWMAN Member/Manager 919-603-3824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NC 11338) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |