| NPI | 1629832621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANI PRISCILIA RUARTE Lead Revenue Cycle Specialist 704-316-6573 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-02-09 |