| NPI | 1831574367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KING Pharmacy Manager/President 910-353-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 10242) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 10242) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |