# NOTTAP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BUFORD ST DRUG STORE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205914629
- **Authorized official:** DR. PAUL BRADFORD BAILEY (OWNER/PHARM D.)
- **Authorized official phone:** (864) 488-3036

## Contact information

- **Practice address:** 115 N GRANARD ST, GAFFNEY, SC 29341-2342
- **Practice address phone:** (864) 488-3036
- **Practice address fax:** (864) 488-0316
- **Mailing address:** 115 N GRANARD ST, GAFFNEY, SC 29341-2342
- **Mailing address phone:** (864) 488-3036
- **Mailing address fax:** (864) 488-0316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 6358 | SC | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 08/09/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2092104 | PK | — |
| 05 | — | 763581 | — | SC |