| NPI | 1720070972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZOOM HOANG HEATON Chief Pharmacist President 803-648-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 50-007024) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: SC 50-007024) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2011-03-29 |