| NPI | 1992008650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE RESETAR Cheif Operations Officer 843-652-1002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: SC 11277) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2011-01-17 |