| NPI | 1598093627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE W WARD Dir Pharmacy Accounting 704-844-6524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2014-10-09 |