| NPI | 1760589600 |
|---|---|
| Doing Business As | SUP RX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | W R MCLEOD Owner 803-775-1334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: SC 50008929) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |