| NPI | 1528041373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GLEATON Owner 803-957-5969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 16242) |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2024-12-02 |