| NPI | 1144659111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIE MILLER Pharmacy Supervisor 843-609-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 23825) |
| Enumeration Date | 2013-11-10 |
| Last Update Date | 2013-11-10 |