| NPI | 1578265906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CLAUDE BURROUGHS Pharmacist In Charge 864-915-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |