| NPI | 1508008202 |
|---|---|
| Doing Business As | DELTA PHARMACY & MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | VAN WILLIS HIGH Owner/Principal Officer 843-761-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |