| NPI | 1730883257 |
|---|---|
| Doing Business As | FIVE FORKS DISCOUNT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DESERIO Manager 864-580-7001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |