NPI | 1295929834 |
---|---|
Doing Business As | WISE'S FAMILY PHARMACY DME |
Entity Type | Organization |
Authorized Contact | CHARLES WAYNE WISE Owner 843-558-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 765044) |
Enumeration Date | 2007-08-28 |
Last Update Date | 2008-07-23 |