| NPI | 1023200441 |
|---|---|
| Doing Business As | WELVISTA |
| Entity Type | Organization |
| Authorized Contact | JUANITA WRIGHT Chief Executive Officer 803-933-9183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 10219) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2015-06-03 |