| NPI | 1871909010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY MIRANDA PROCTOR Pharmacist 336-239-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 24085) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |