| NPI | 1972923738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE KATHLEEN VOSO Pharmacist 843-232-0495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 12598) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-10-14 |