| NPI | 1912949710 |
|---|---|
| Doing Business As | INNES STREET DRUG COMPANY |
| Entity Type | Organization |
| Authorized Contact | JAMES FULLER President Owner 704-636-1712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 05609) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2014-11-17 |