NPI | 1366841231 |
---|---|
Entity Type | Organization |
Authorized Contact | CRYSTAL DONJON Pharmacy Supervisor 843-626-3951 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: SC 35452) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03131744) |
Enumeration Date | 2014-08-17 |
Last Update Date | 2014-08-17 |