| NPI | 1932572294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVISANKARA R AVULA Owner 919-720-4109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 12729) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2016-05-13 |