| NPI | 1467828715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL LYNN HASKELL Pharmacist 803-533-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 36096) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |