| NPI | 1871775841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA NICOLE CROWE BARNWELL Director Outpatient Pharmacy 843-777-2166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 6273) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2022-09-29 |