NPI | 1225199094 |
---|---|
Doing Business As | GRAND STAND UROLOGY LLP |
Entity Type | Organization |
Authorized Contact | CHRIS RICHARDSON Exec Dir 843-449-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: SC 20257) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-08-22 |