NPI | 1548770746 |
---|---|
Doing Business As | PROFESSIONAL SPECIALTY PHARMACY |
Entity Type | Organization |
Authorized Contact | TONY MEGNA CEO 803-254-3676 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: SC 16319) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2017-10-03 |
Last Update Date | 2023-05-11 |