| NPI | 1942528278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANDRA BROOKS Pharmacist 864-596-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 10993) |
| Additional Taxonomies | 3336M0002X Pharmacy Mail Order Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-09-01 |