| NPI | 1942394358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JACKSON President And Owner 252-752-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 08421) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-11-16 |