| NPI | 1912016593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUBERT F. MOBLEY Owner 803-285-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: SC 50-001658) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 50-001658) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2017-08-03 |