| NPI | 1730795873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA LEE HOWARD Pharmacist 704-755-5656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 183500000X Pharmacist | |
| 333600000X Pharmacy | |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2023-02-22 |