| NPI | 1639281900 |
|---|---|
| Doing Business As | NALLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CARL DAGENHART Owner Pharmacy Manager 704-342-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 7565) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-09-13 |