| NPI | 1467861161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY K NOBLITT License Administrator 704-844-3418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |