| NPI | 1790879732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COBA SUSAN CORNEJO Chief Operating Officer 803-463-5837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-09-26 |