| NPI | 1508008202 | 
|---|---|
| Doing Business As | DELTA OF CHARLESTON, INC | 
| Entity Type | Organization | 
| Authorized Contact | VAN WILLIS HIGH Owner 843-761-5255  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy | 
| Enumeration Date | 2009-03-27 | 
| Last Update Date | 2025-08-20 |