| NPI | 1639111453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FULLER President 704-633-4521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NC 05608) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |