| 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 |