Organization
EICCUA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IJEOMA AGNES UWAKWE (PHARMACY MANAGER)
(252) 293-4177
Entity
Organization
Contact information
Practice address
404 NASH ST S, WILSON, NC 27893-3888
(252) 293-4177
(252) 293-4180
Mailing address
404 NASH ST S, WILSON, NC 27893-3888
(252) 293-4177
(252) 293-4180
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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