| NPI | 1528058187 |
|---|---|
| Doing Business As | GIEANT GENIE CLOSED PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JONNIE E HILDRELTH V President 704-522-1138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NC 7450) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2008-10-01 |