| NPI | 1972776573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BROOKS Pharmacy Manager 704-487-2939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 10044) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2023-03-07 |