| NPI | 1730311671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DEWAYNE POORE President 704-858-3689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 15569) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 012409) |
| 183500000X Pharmacist (Licence: PA RP443375) | |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |