NPI | 1790772598 |
---|---|
Doing Business As | FAMILY PHARMACY |
Entity Type | Organization |
Authorized Contact | BRANDI NICOLE JOHNSON President/Owner/Pharmacist 803-648-1776 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 2693) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2005-10-05 |
Last Update Date | 2022-12-05 |