| NPI | 1649478025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN BOLAND Owner 803-897-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 50001693) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2008-09-23 |