| NPI | 1952414757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MATTHEWS Owner 252-726-2106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 01943) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2017-01-18 |