| NPI | 1134102460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRVIN STACK HARMON Owner 864-834-4678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 50003094) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-08-22 |