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 |