# KASH & KARRY PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053402891
- **Authorized official:** DR. KEVAN PAGE PHARM.D (PHARMACIST IN CHARGE)
- **Authorized official phone:** (864) 232-6711

## Contact information

- **Practice address:** 101 PETE HOLLIS BLVD, GREENVILLE, SC 29601-1107
- **Practice address phone:** (864) 232-6711
- **Practice address fax:** (864) 242-4399
- **Mailing address:** 101 PETE HOLLIS BLVD, GREENVILLE, SC 29601-1107
- **Mailing address phone:** (864) 232-6711
- **Mailing address fax:** (864) 242-4399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 50001875 | SC | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4213550 | NABP | SC |
| 05 | — | 718750 | — | SC |
| 05 | — | DME282 | — | SC |