| NPI | 1215348644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A MCCOLLUM President/Owner 864-855-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-10-22 |