| NPI | 1902357130 |
|---|---|
| Doing Business As | BANNER DRUG CO |
| Entity Type | Organization |
| Authorized Contact | MELINDA CHILDRESS Owner 704-872-2604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NC 13145) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2017-02-27 |