| NPI | 1376876029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN APELU FETUAO Owner 803-324-1875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 10527) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2010-01-08 |