| NPI | 1881652881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ELIOT KOONTZ Pharmacy Mgr 336-248-5048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 08285) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2023-03-07 |