| NPI | 1801341839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE BOND Regional Administrative Contact 704-861-2817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 36762) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |