| NPI | 1548573900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA M STEPHENS President 843-686-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: SC 10748) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |