| NPI | 1851457204 |
|---|---|
| Doing Business As | DRUGCO LAKE GASTON |
| Entity Type | Organization |
| Authorized Contact | BRYAN ISLES VP Operations 252-537-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NC 09116) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2008-03-20 |