Organization · NPI-2

Eiccua LLC

Pharmacy · Wilson, NC

NPI number1275006355
StatusActive
Last updated in NPPESJan 10, 2019

Details

NPI
1275006355
Entity type
Organization (NPI-2)
Legal business name
Eiccua LLC
Organization subpart
No
Enumeration date
Jan 10, 2019
Last updated
Jan 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy––Yes

Practice location

404 Nash St S
Wilson, NC 27893-3888

Phone 252-293-4177 · Fax 252-293-4180

Mailing address

404 Nash St S
Wilson, NC 27893-3888

Phone 252-293-4177 · Fax 252-293-4180

Authorized official

Ijeoma Agnes Uwakwe
Pharmacy Manager
2522934177

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