| NPI | 1215318209 |
|---|---|
| Doing Business As | CAROLINA MOUNTAIN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JARED MATTSON Owner/Manager 907-687-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 12627) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2020-11-15 |