| NPI | 1629334354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW COLEMAN CASTELLOE Pharmacist 704-982-9179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 2397) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |