# PIGGLY WIGGLY OF LAMAR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Piggly Wiggly Pharmacy \#196
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164589289
- **Authorized official:** GINGER DAIL PHARMD (PHARMACIST)
- **Authorized official phone:** (843) 326-5231

## Contact information

- **Practice address:** 100 N RAILROAD AVE, LAMAR, SC 29069-9726
- **Practice address phone:** (843) 326-5231
- **Practice address fax:** (843) 326-5068
- **Mailing address:** 100 N RAILROAD AVE, LAMAR, SC 29069-9726
- **Mailing address phone:** (843) 326-5231
- **Mailing address fax:** (843) 326-5068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 15465 | SC | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 02/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2152740 | PK | — |