| NPI | 1518366053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT RENEE STROUD Pharmacist 803-799-1217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 35517) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |