# PEACH VALLEY PHARMACY, INC.

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

## Provider details

- **NPI number:** 1285667626
- **Authorized official:** MR. JAMES HILTON WEST II R.PH. (OWNER/CEO)
- **Authorized official phone:** (864) 577-0087

## Contact information

- **Practice address:** 2306 CHESNEE HWY, SUITE 1, SPARTANBURG, SC 29303-5500
- **Practice address phone:** (864) 577-0087
- **Practice address fax:** (864) 577-0599
- **Mailing address:** 2306 CHESNEE HWY, SUITE 1, SPARTANBURG, SC 29303-5500
- **Mailing address phone:** (864) 577-0087
- **Mailing address fax:** (864) 577-0599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 5000-5035 | SC | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 750351 | — | SC |