| NPI | 1831461052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA JENNIFER ETHERIDGE CEO 843-645-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: SC 13447) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 13447) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2013-10-23 |