| NPI | 1669889374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA REICH Co Owner 843-696-9103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 11842) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: SC 11842) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2015-10-16 |