| NPI | 1073780623 |
|---|---|
| Doing Business As | SOUTH CHURCH HEALTH MART PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | DIANDRA BROOKS Managing Member 864-641-5351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 10246) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2009-12-16 |