| NPI | 1215338058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMER MARCOS Rph/Owner 843-222-5691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 15507) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| 333600000X Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2016-06-21 |