| NPI | 1730564733 |
|---|---|
| Doing Business As | SOUTH LAKE DRUG |
| Entity Type | Organization |
| Authorized Contact | KYLE MCHUGH Owner 803-399-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 16079) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2023-06-14 |