| NPI | 1154475507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG BLANEY PIC 704-895-6527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: NC 09263) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2010-05-28 |