| NPI | 1912433228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL PATTERSON Owner/ Pharmacy Manager 336-817-6794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |