NPI | 1881615854 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL BRADFORD BAILEY Owner 864-488-3036 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 50006358) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2022-06-22 |