| NPI | 1407431109 |
|---|---|
| Doing Business As | SODA CITY PHARMACY & COMPOUNDING |
| Entity Type | Organization |
| Authorized Contact | TREMAIN ODELL COOPER Owner 803-766-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2021-03-14 |
| Last Update Date | 2022-03-03 |