| NPI | 1871691741 |
|---|---|
| Doing Business As | ELM CITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARVIN RUSSELL COWAN President Pharmacist 252-236-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NC 04043) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC 004043) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 004043) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 4043) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC 4043) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-03-27 |