| NPI | 1346775194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHESH PATEL Manager 704-692-1434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2020-07-21 |