| NPI | 1912257254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE JOHN MAIOLO Staff Pharmacist 843-236-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 12794) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |