| NPI | 1124133319 |
|---|---|
| Doing Business As | FOOD MAX PHARMACY #019 |
| Entity Type | Organization |
| Authorized Contact | CURTIS HARTIN Sr. Director Of Pharmacy 864-213-2584 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 110571) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-12-05 |