| NPI | 1275545667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY RENE CHILES Pharmacy Director 803-777-4890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: SC 50000829) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2025-02-12 |