| NPI | 1972690857 |
|---|---|
| Doing Business As | SUP RX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM MCLEOD Owner 803-773-6378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 5038) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2021-07-16 |