| NPI | 1851795363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNA HARRIS Pharmacist 803-318-6227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24667) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 35833) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |