| NPI | 1164426938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK B. HODGE President 803-637-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 50-000987) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: SC 50-000987) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2025-09-11 |