| NPI | 1720404122 |
|---|---|
| Doing Business As | KJ PHARMACY #129 |
| Entity Type | Organization |
| Authorized Contact | SPENCER PLAYER Pharmacist In Charge 843-374-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 15075) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2018-04-19 |