| NPI | 1861504706 |
|---|---|
| Doing Business As | MAXWELL HOUSE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEITH MATTHEWS Owner 803-637-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE002600) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-03-23 |