| NPI | 1942257654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMAS T. WHITE Member Manager 919-835-0457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 9162) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 9162) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2013-07-26 |