| NPI | 1932458981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BARTON FISER VP Of Managed Care And Rev Cycle 910-615-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 11308) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2025-07-17 |