| NPI | 1922049816 |
|---|---|
| Doing Business As | WANNAMAKER DRUG |
| Entity Type | Organization |
| Authorized Contact | JONATHAN CHRISTOPHER BRIDGES Owner 843-537-3221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 2400) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SC 2400) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2021-02-15 |