| NPI | 1306326640 |
|---|---|
| Doing Business As | GROVE PARK PHARMACY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES PAGE THOMPSON Owner 803-536-0007 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-11-08 |