| NPI | 1104979350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL DAVID HILL Administrator Pharmacist 864-220-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 558550) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: SC 725482) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |