| NPI | 1811149966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH HUNT PIC 864-270-1469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 10227) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2017-04-05 |