| NPI | 1205925856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREL VANDYK Owner 704-664-9528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 09336) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |