| NPI | 1912323544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY MICHAEL PARTRIDGE President 251-661-3851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2023-09-06 |