| NPI | 1649727678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE HELEN CLEARY Clinical Pharmacist, Assistant Prof 803-351-2448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0202213024) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |