| NPI | 1356375273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD E. PIGG Rph Manager 704-735-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 02894) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-12-19 |