| NPI | 1861545113 |
|---|---|
| Doing Business As | MEDICINE MART |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEWIS PORTER Owner Pharmacist 843-667-0759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 50007436) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-06-25 |