NPI | 1992514269 |
---|---|
Entity Type | Organization |
Authorized Contact | MARQUITA A DODDS Pharmacy Manager 336-880-3318 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2025-01-02 |
Last Update Date | 2025-01-02 |