| NPI | 1225457344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHISH J MEHTA Pharmacist Manager 704-915-1041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2025-06-25 |