| NPI | 1639977291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET IBRAHIM Pharmacist In Charge 843-742-5243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-14 |