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Organization
PELHAM ROAD PHARMACY INC
Active
Organization
PELHAM ROAD PHARMACY INC
Active
Other names
PELHAM ROAD PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR PATEL RPH (PHARMACIST IN CHARGE)
(864) 234-5890
Entity
Organization
Contact information
Practice address
800B PELHAM RD, GREENVILLE, SC 29615-3300
(864) 234-5890
(864) 234-5891
Mailing address
800B PELHAM RD, GREENVILLE, SC 29615-3300
(864) 234-5890
(864) 234-5891
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
2040
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089695
PK
—
05
—
720401
—
SC
Enumeration date
08/10/2006
Last updated
05/26/2016
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