| NPI | 1619949369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GRANT FREEMAN Pharmacist 803-484-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2021-08-20 |