| NPI | 1902325715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY SIMMONS Owner 843-729-5583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 17472) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |