| NPI | 1255490538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E BAGNAL Pharmacist In Charge And Owner 843-358-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 4088) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |