NPI | 1912963745 |
---|---|
Doing Business As | ELLOREE PHARMACY, LLC |
Entity Type | Organization |
Authorized Contact | VAN WILLIS HIGH Owner 843-761-5255 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 50007762) |
Enumeration Date | 2006-04-21 |
Last Update Date | 2024-10-17 |