| NPI | 1588685556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LEE WILLIAMS Owner 704-648-6257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: SC 50008707) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2025-09-11 |