| NPI | 1235289562 |
|---|---|
| Doing Business As | NURSING HOME DISPENSARY |
| Entity Type | Organization |
| Authorized Contact | PAUL RAST Secre And Tres 843-332-7529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: SC 2044) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2016-04-19 |