| NPI | 1558456673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELAND BRUCE MCCOY Pharmacist In Charge 864-582-8474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 421600) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |