| NPI | 1306829668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA JAGINA KING Pharmacist In Charge 864-877-4281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 50001504) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2016-05-25 |