| NPI | 1609302173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIAN ROMAN KUROPAS Pharmacy Manager 704-885-5669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 13240) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2025-10-22 |