| NPI | 1831572163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE C BOND Administrative Assistant 704-861-2817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24548) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-06 |