| NPI | 1255634069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE RESETAR Cheif Operations Officer 843-652-1002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: SC 11276) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2020-05-01 |