| NPI | 1902084700 |
|---|---|
| Doing Business As | SOUTHERN PHARMACY SERVICES WINSTON-SALEM |
| Entity Type | Organization |
| Authorized Contact | JOEL HOWARD NOPED Pharmacy Manager 336-577-3971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2010-08-13 |