| NPI | 1275051419 |
|---|---|
| Doing Business As | BANNER DRUG |
| Entity Type | Organization |
| Authorized Contact | MELINDA C CHILDRESS Owner 704-878-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 17650) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2023-08-28 |