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Organization
LONGS DRUGSTORES OF SC INC
Active
Organization
LONGS DRUGSTORES OF SC INC
Active
Other names
LONGS MEDICAL PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL FROST (DIRECTOR OF BUSINESS DEV)
(404) 583-6945
Entity
Organization
Contact information
Practice address
115 BLARNEY DR STE 105, SUITE 105, COLUMBIA, SC 29223-6291
(803) 788-9608
(803) 788-7170
Mailing address
PO BOX 602688, CHARLOTTE, NC 28260-2688
(803) 788-9608
(803) 788-7170
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
15059
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053403964
—
SC
01
—
2089902
PK
—
Enumeration date
09/28/2006
Last updated
03/19/2014
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