| NPI | 1700876927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER KIM RICHARDSON Owner / President / Pharmacist 843-884-4051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 4978) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: SC 3596) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-08-22 |