| NPI | 1083495030 |
|---|---|
| Doing Business As | PROFESSIONAL PHARMACY OF WALTERBORO |
| Entity Type | Organization |
| Authorized Contact | TONY MEGNA CEO 803-254-3676 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-06 |