| NPI | 1154755155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP GAUCHER Chief Executive Officer 704-469-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 12031) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NC 12031) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2014-11-06 |