| NPI | 1376424440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA A SOMMERS WILSON Corporate Director 843-792-7810 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |