| NPI | 1124751862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GRAHAM WISE Owner/Member Manager 803-233-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2023-02-07 |