NPI | 1053823617 |
---|---|
Entity Type | Organization |
Authorized Contact | TOM MCMAHAN Owner 828-652-4661 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 310400000X Assisted Living Facility |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 01899) | |
Enumeration Date | 2017-11-03 |
Last Update Date | 2021-01-18 |