| NPI | 1417382045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA N RUSS President/Pharmacist 803-419-8916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: SC 10006) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |