| NPI | 1316681562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN EUGENE RICHMOND Director 843-314-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2025-04-15 |