| NPI | 1114379138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN-MARIE STEYNBURG Pharmacy District Manager 803-749-3750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 36619) |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2016-07-02 |