| NPI | 1821200106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SHELDON HELFRICH Pharmacy Manager 252-209-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NC 02527) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |