| NPI | 1487878484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGINA HOWARD Pharmacist In Charge 864-877-4281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 1504) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |