| NPI | 1912180902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE KELLI BARKER Pharmacy Manager 252-446-0014 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 3105) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |