| NPI | 1275088320 |
|---|---|
| Doing Business As | 501 PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GREGORY VASSIE Owner 984-999-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 13062) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2018-07-19 |