| NPI | 1851432710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS BRICKLEY Pres 336-228-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NC 05652) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2017-12-26 |