| NPI | 1881985273 |
|---|---|
| Doing Business As | THE DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | ROGER CLEVELAND HOMESLEY Certified Fitter Of Orthotics 704-735-2556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-29 |