| NPI | 1033118757 |
|---|---|
| Doing Business As | BLACKS DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | JAMES MARK RICHARDS Vice President 704-904-3287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 6574) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2018-06-16 |