| NPI | 1992544654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS FITZSIMONS Owner/President 704-372-5180 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |