| NPI | 1154346880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA RICHARDSON VP Managed Health 704-631-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: WI 9053-042) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2025-02-09 |