| NPI | 1952655425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FRANCIS MCGRADY Pharmacist In Charge 252-715-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NC 16845) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2013-01-22 |