| NPI | 1437596616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ILODIGWE Pharmacy Manager 704-900-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2019-11-08 |