| NPI | 1104883107 |
|---|---|
| Doing Business As | FOWLER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JENNIE DALTON Manager 843-479-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 50000099) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-10-08 |