| NPI | 1134720535 |
|---|---|
| Other Name | DETYENS MEDICAL CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DEBRA LYNN GASKINS Pharmacist In Charge 843-747-3284 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |