| NPI | 1538562053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY HOOPER Pharmacist 803-957-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: SC 12606) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |