| NPI | 1942632369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JACKSON Owner/Pharmacist 252-752-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 08421) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |