# EXIGO PHARMACEUTICALS, LLC

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

## Provider details

- **NPI number:** 1215348644
- **Authorized official:** DR. DANIEL A MCCOLLUM (PRESIDENT/OWNER)
- **Authorized official phone:** (864) 855-1633

## Contact information

- **Practice address:** 115 BRUSHY CREEK RD, EASLEY, SC 29642-1120
- **Practice address phone:** (864) 855-1633
- **Practice address fax:** (864) 855-1323
- **Mailing address:** 115 BRUSHY CREEK RD, EASLEY, SC 29642-1120
- **Mailing address phone:** (864) 855-1633
- **Mailing address fax:** (864) 855-1323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/20/2014
- **Last updated:** 10/22/2014