| NPI | 1649353475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL KEVIN MARTIN Owner Manager Head Pharmacist 843-248-5015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 4203698) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |