| NPI | 1255416616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH DAPORE Owner 843-795-9554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 010727966) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-01-03 |