| NPI | 1013004217 |
|---|---|
| Doing Business As | MEDICINE MART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANDREW DAVID WALL Owner/Pharmacist In Charge 803-231-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 17915) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2018-07-03 |