| NPI | 1932248978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W.HOYT TODD President 252-345-5131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NC 2137) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 02137) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC 02137) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 02137) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2010-01-05 |