| NPI | 1871079426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA SMITH LISCHIN Owner 919-639-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 13790) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NC 13790) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2019-01-23 |