| NPI | 1457128738 |
|---|---|
| Doing Business As | WANNAMAKER DRUG |
| Entity Type | Organization |
| Authorized Contact | LISA R BRIDGES CEO 843-537-3221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-07 |