| NPI | 1851866057 |
|---|---|
| Doing Business As | FAMILY PHARMACY #30 |
| Entity Type | Organization |
| Authorized Contact | ROY MEIDINGER Vice President 980-422-3584 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |