| NPI | 1841373123 |
|---|---|
| Doing Business As | MEDICAL PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | J. L. BRUEGGEMAN Director 843-553-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 001807) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 1807) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-08-22 |