| NPI | 1770994956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIND CHORAK Pharmacist In Charge 803-326-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: SC 15545) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2017-02-21 |