| NPI | 1851488050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DEADWYLER Owner Pharmacist 704-636-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy (Licence: NC 09022) | |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2008-03-28 |