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Organization
PUGH DRUG INC
Active
Organization
PUGH DRUG INC
Active
Other names
PROSPERITY DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PUGH PHARMD RPH (PRESIDENT PIC)
(803) 364-2310
Entity
Organization
Contact information
Practice address
101 N MAIN ST, PROSPERITY, SC 29127
(803) 364-2310
(803) 364-2311
Mailing address
PO BOX 147, PROSPERITY, SC 29127-0147
(803) 364-2310
(803) 364-2311
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8757
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2088181
PK
—
05
—
787575
—
SC
Enumeration date
06/20/2006
Last updated
06/09/2014
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