| NPI | 1891149670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEA LILIE Pharmacy District Manager 919-819-4217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: VA 0202214252) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |