NPI | 1326503533 |
---|---|
Doing Business As | GIANT GENIE PHARMACY |
Entity Type | Organization |
Authorized Contact | AUSTIN TYLER WISE Owner 704-814-0154 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Enumeration Date | 2019-02-01 |
Last Update Date | 2019-02-02 |