| NPI | 1326412859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOBUS VIGGO DODOO Pharmacist / Owner 704-675-1387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 18801) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |