| NPI | 1891879854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PETRICH Owner And President 864-419-8563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 50002610) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-10-06 |