| NPI | 1427259878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A OUZTS Pharmacist 803-433-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 50008944) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2008-06-17 |