| NPI | 1487047874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIPUL PATEL Owner 704-909-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 12639) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2022-12-15 |