| NPI | 1124029442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONRAD E BANKS President Co Owner 843-497-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: SC 3010) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: SC 11124029442) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 3010) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: SC 3010) | |
| 333600000X Pharmacy (Licence: SC 3010) | |
| 333600000X Pharmacy (Licence: TX 20663) | |
| 183500000X Pharmacist (Licence: SC 1124029442) | |
| 183700000X Pharmacy Technician (Licence: SC 1124029442) | |
| 251G00000X Hospice Care, Community Based | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 3010) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: TX 20663) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: SC 3010) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: TX 20663) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: SC 3010) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2018-11-06 |