| NPI | 1225443591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN BLACKLEY Pharmacist 704-226-2050 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: NC 12025) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |