| NPI | 1891804084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLACE ALLEN JOHNSON Owner 336-789-0424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 08125) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |