| NPI | 1891830899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUETTA A SLICE Owner 803-345-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: SC 50003585) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-09-16 |