| NPI | 1659248037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DOUGLASS President 843-681-2622 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-21 |