| NPI | 1053402891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVAN PAGE Pharmacist In Charge 864-232-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 50001875) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |