# NYE'S PHARMACY OF CONWAY,INC.

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

## Provider details

- **NPI number:** 1053614958
- **Authorized official:** MRS. TIFFANY H COMBS PHARM D (OWNER/MANAGER/PHARMACIST)
- **Authorized official phone:** (843) 248-5015

## Contact information

- **Practice address:** 1600 10TH AVE, CONWAY, SC 29526-4112
- **Practice address phone:** (843) 248-5015
- **Practice address fax:** (843) 488-1942
- **Mailing address:** 1600 TENTH AVE., NYE'S PHARMACY OF CONWAY,INC., CONWAY, SC 29526
- **Mailing address phone:** (843) 248-5015
- **Mailing address fax:** (843) 488-1942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 12/15/2010
- **Last updated:** 12/15/2010