NPI | 1003480013 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL HARRISON MCBRIDE Director Of Operations 864-915-1816 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2021-05-14 |
Last Update Date | 2021-09-24 |