| NPI | 1831696251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD EDMOND GRACE President 864-451-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: SC 101491182) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: DC 308009535) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |