| NPI | 1407252745 |
|---|---|
| Doing Business As | INDIAN TRAIL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TERRY A DEVINE Pharmacy Manager 704-821-7617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NC 11558) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-12-01 |