| NPI | 1598774366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE CASSIDY Vice President 803-227-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 50-005845) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-04-01 |