| NPI | 1790981173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDI CARWILE Pharmacist 864-338-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: SC 65004967) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 6568) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2017-05-04 |