| NPI | 1700923117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN DOWDY Owner 843-479-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2025-09-11 |