| NPI | 1922177898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF LEWIS TEAL Pharmacist Manager 919-575-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2009-01-03 |