| NPI | 1962549055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE H AVANT Accountant 919-577-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NC 07118) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2010-09-02 |