NPI | 1992760623 |
---|---|
Entity Type | Organization |
Authorized Contact | MINDY KREHLING NOBLES Delegated Official 251-962-3777 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-04-18 |
Last Update Date | 2018-02-16 |