| NPI | 1619163375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS COLE WILSON A VP Pharmacy Services 704-512-7628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 13265) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2023-03-07 |