| NPI | 1942578240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL S WHALEY President 704-487-6866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| 333600000X Pharmacy | |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2012-06-07 |