| NPI | 1588917553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED WILSON LOWRY Rph/President 704-873-2256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: NC 09240) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |