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Organization
PROFESSIONAL PHARMACY AT MT VIEW IN
Active
Organization
PROFESSIONAL PHARMACY AT MT VIEW IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAULA JAGINA KING JR. RPH (PHARMACIST IN CHARGE)
(864) 877-4281
Entity
Organization
Contact information
Practice address
428 MEMORIAL DRIVE EXTENSION, GREER, SC 29651-1818
(864) 877-4281
(864) 877-4077
Mailing address
428 MEMORIAL DRIVE EXT, GREER, SC 29651-1818
(864) 877-4281
(864) 877-4077
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
50001504
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4210592
NABP NUMBER
—
05
—
715040
—
SC
Enumeration date
11/21/2005
Last updated
05/25/2016
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