| NPI | 1053553891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAVIN HOUCHINS Pharmacist/Owner 704-799-3299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NC 08134) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2014-07-09 |