| NPI | 1972737229 |
|---|---|
| Other Name | DHEC HEMOPHILIA-CSHCN PROGRAM |
| Entity Type | Organization |
| Authorized Contact | BETTY H GARREN Director, Third Party Administratio 803-898-3720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: SC 50008287) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2012-05-09 |