NPI | 1922288869 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS E FULLER Owner/Pharmacist 843-423-1882 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC dpe023) |
Enumeration Date | 2007-11-08 |
Last Update Date | 2007-11-08 |