| NPI | 1740201706 |
|---|---|
| Doing Business As | PALMETTO LONG TERM CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DUANE EVERETT Chief Operating Officer 803-397-8904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: SC 14061) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2012-10-08 |