| NPI | 1609587344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAJALBEN P PATEL Pharmacy Manager 803-207-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2023-07-11 |