| NPI | 1245754605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIENZI SIMONETTI Director Of Operations 843-266-6095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-07-27 |