| NPI | 1609982636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A JAMISON Manager 803-536-2165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 50000571) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2013-05-21 |