| NPI | 1134719628 |
|---|---|
| Doing Business As | BANNER DRUG LTC |
| Entity Type | Organization |
| Authorized Contact | MELINDA C CHILDRESS Owner 704-878-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2022-08-22 |