| 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 |