| NPI | 1831136761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LAROQUE President 252-726-7787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 09027) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2017-03-20 |