| NPI | 1235156886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM T. MAULDIN President 864-888-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 50003615) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |