| NPI | 1104994938 |
|---|---|
| Doing Business As | CREEKSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DARLENE GARDINER Owner/Pharmacist 803-684-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: SC 50007366) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2023-03-07 |