| NPI | 1184001356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H SYMONS VP 843-389-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 15075) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 15075) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |