| NPI | 1972636066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASHANTH DESHPANDE Pharmacist Manager 919-491-5048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 17552) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-08-28 |