| NPI | 1588048714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S LINE Owner/Pharmacist 704-788-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 12646) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2021-05-08 |