| NPI | 1447636766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WIER Staff Pharmacist 843-810-6247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 36200) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |