| NPI | 1467026096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY RAY WEST CEO 704-939-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-05-18 |