| 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 |