| NPI | 1033896063 |
|---|---|
| Doing Business As | CONGRESS STREET PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM T DUNLAP Owner 803-818-4116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |