NPI | 1497386403 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES M BOWMAN Manager/Member 704-918-0867 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy Community/Retail Pharmacy | |
3336C0004X Pharmacy Compounding Pharmacy | |
Enumeration Date | 2020-01-29 |
Last Update Date | 2023-03-07 |