| NPI | 1356628937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAVIN HOUCHINS Owner/Manager 704-799-6870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: 07707) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |