| NPI | 1780715250 |
|---|---|
| Doing Business As | FOWLER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JENNIE DALTON Manager 843-439-2979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 50000099) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-10-09 |