| NPI | 1881273696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SHANNON STEWART Pharmacy Director 251-605-9727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-07 |