NPI | 1841042454 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT TURNER BEAVERS Credentialing Manager 919-210-7661 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2024-04-05 |
Last Update Date | 2024-04-05 |