| NPI | 1952033441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN EUGENE RICHMOND Director 843-314-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2025-11-04 |