| NPI | 1861442519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRECK KLEIN President And Owner 803-648-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 50004482) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-09-13 |