| NPI | 1740374974 |
|---|---|
| Doing Business As | INDIAN TRAIL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TERRY DEVINE Manager 704-821-7617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 11558) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-11-10 |