| NPI | 1902182363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY S LONG President 336-202-7146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2022-07-18 |