| NPI | 1245591668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL E PRESCOTT Pharmacy Manager 864-585-3850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: SC 3340) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 3340) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2012-06-01 |