| NPI | 1255434809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE WARD Manager Pharmacy Accounting 704-844-6524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: VA 0201003773) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2023-03-07 |