NPI | 1861418360 |
---|---|
Doing Business As | SUPRX PHARMACY |
Entity Type | Organization |
Authorized Contact | JAMES JONES Pharmacist In Charge 803-775-3020 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 2006) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-07-15 |
Last Update Date | 2017-03-06 |