| NPI | 1396149803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID OUELLET Pharmacist 803-479-8419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 35583) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |