| NPI | 1952699688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMISAN ETIKEVENTSE Pharmacy Manager 843-725-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2011-07-15 |