| NPI | 1013074103 |
|---|---|
| Doing Business As | PIGGLY WIGGLY PHARMACY #79 |
| Entity Type | Organization |
| Authorized Contact | DAVID R. SCHOOLS President 843-554-9880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 50007515) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 50007515) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2010-11-24 |