| NPI | 1790738383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BRYANT President 864-202-8394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC MCARE033170001) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: SC S0004005) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC SCMCAIDDMES04) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-02-16 |