| NPI | 1275756223 |
|---|---|
| Former Legal Business Name | INDEPENDANT PHARMACY RETAIL |
| Entity Type | Organization |
| Authorized Contact | VERA J TELLIS Pharmacist 843-723-0682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: SC 010555703) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-03-07 |