| NPI | 1831373067 |
|---|---|
| Doing Business As | GROVE PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHARLES PAIGE THOMPSON Owner 803-534-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 50-001928) |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2016-08-30 |