| NPI | 1215942859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDE BANKS Owner 864-241-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 50005669) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |