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Organization
SHELBY PHARMACY LLC
Active
Organization
SHELBY PHARMACY LLC
Active
Other names
Easley HealthMart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY ANTHONY SHELBY (OWNER)
(864) 642-4879
Entity
Organization
Contact information
Practice address
401 HILLCREST DR, EASLEY, SC 29640-1221
(864) 642-4879
Mailing address
401 HILLCREST DR, EASLEY, SC 29640-1221
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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