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Organization
WATERWAY PHARMACY LLC
Active
Organization
WATERWAY PHARMACY LLC
Active
Other names
Waterway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MOHIT PAWAR MS PHARMACOLOGY (PHARMACIST)
(843) 734-0612
Entity
Organization
Contact information
Practice address
3373 HIGHWAY 9 E, LITTLE RIVER, SC 29566-7826
(843) 734-0612
(843) 734-0793
Mailing address
3373 HIGHWAY 9 E, LITTLE RIVER, SC 29566-7826
(843) 734-0612
(843) 734-0793
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
16793
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162521
PK
—
05
—
716793
—
SC
Enumeration date
08/12/2016
Last updated
02/07/2024
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