| NPI | 1871370767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYREETA TAYLOR Operations/Director Of Hr 252-514-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |