| NPI | 1477693729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE R. BETHEA Office Manager 843-884-8806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC BL7753331) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 50006597) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2023-03-07 |