| NPI | 1851933089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIONA COLE Pharmacy Manager 336-905-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2023-03-07 |