| NPI | 1558879965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R MITCHELL President 704-659-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 13089) | |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2021-08-27 |