| NPI | 1912381799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEY RAE MOZINGO Pharmacist 843-424-6929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 36101) |
| Enumeration Date | 2015-07-12 |
| Last Update Date | 2015-07-12 |