| NPI | 1285912170 |
|---|---|
| Doing Business As | COLONIAL RX |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DISHER Credentialing Manager 803-773-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2023-03-14 |