| NPI | 1689730913 |
|---|---|
| Doing Business As | SUPRX PHARMACY #80 |
| Entity Type | Organization |
| Authorized Contact | HOLLY FRALIX PIC 843-264-3291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 14725) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2016-07-20 |