| NPI | 1811133119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA L NORWOOD Director Of Pharmacy 803-438-5537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |