| NPI | 1932586351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOBUS VIGGO DODOO Pharmacist / Owner 704-675-1387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 12593) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2022-01-05 |