# PROFESSIONAL PHARMACY AT MT VIEW IN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1306829668
- **Authorized official:** MR. PAULA JAGINA KING JR. RPH (PHARMACIST IN CHARGE)
- **Authorized official phone:** (864) 877-4281

## Contact information

- **Practice address:** 428 MEMORIAL DRIVE EXTENSION, GREER, SC 29651-1818
- **Practice address phone:** (864) 877-4281
- **Practice address fax:** (864) 877-4077
- **Mailing address:** 428 MEMORIAL DRIVE EXT, GREER, SC 29651-1818
- **Mailing address phone:** (864) 877-4281
- **Mailing address fax:** (864) 877-4077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 50001504 | SC | Yes |

## Other

- **Enumeration date:** 11/21/2005
- **Last updated:** 05/25/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4210592 | NABP NUMBER | — |
| 05 | — | 715040 | — | SC |