| NPI | 1518157064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE WARD Manager, Pharmacy Admin/Ar 704-844-6524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 09892) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 09892) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2023-03-07 |