| NPI | 1033362421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI WILSON ULRICH Pharmacist 704-342-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NC 7565) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2023-03-07 |