| NPI | 1952122467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART ELLIOTT TOLMAN Pharmacist In Charge 803-454-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835C0207X Pharmacist, Compounded Sterile Preparations |
| Additional Taxonomies | 183700000X Pharmacy Technician |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-10-18 |