| NPI | 1114643749 |
|---|---|
| Doing Business As | PALMETTO PHARM |
| Entity Type | Organization |
| Authorized Contact | RYAN JOSEPH FENNICK CEO 843-972-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2024-05-20 |