| NPI | 1164149563 |
|---|---|
| Doing Business As | PALMETTO PHARM |
| Entity Type | Organization |
| Authorized Contact | RYAN JOSEPH FENNICK CEO 724-683-6779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2022-10-26 |