| NPI | 1770693467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON HOLTEN Pharmacist Manager 843-761-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: SC 3948) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-09-11 |