| NPI | 1750517827 |
|---|---|
| Doing Business As | CAROLINA COMPOUNDING AND NUTRITIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KELVIN SLOAN President 704-540-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NC 10194) |
| Additional Taxonomies | 333600000X Pharmacy |
| 133V00000X Dietitian, Registered (Licence: NC L000826) | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2013-04-02 |