NPI | 1104924141 |
---|---|
Doing Business As | SUP RX PHARMACY |
Entity Type | Organization |
Authorized Contact | ASHLEE LLOYD Pharmacy Manager 803-773-6378 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 50002786) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-09-21 |
Last Update Date | 2016-07-07 |