| NPI | 1801979935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HOLLAND Owner 803-447-1959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: VA 0201003801) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2025-03-28 |