| NPI | 1184597049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GARLAND NESBITT Owner 843-276-4195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2025-09-26 |