| NPI | 1841248606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DEAN BRADLEY Pharmacist/Owner 803-773-5605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 50001271) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-08-22 |