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Organization
LONGS DRUGSTORES OF SC INC
Active
Organization
LONGS DRUGSTORES OF SC INC
Active
Other names
LONGS MILLWOOD DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL FROST BS (DIRECTOR OF BUSINESS DEV)
(404) 583-6945
Entity
Organization
Contact information
Practice address
2801 MILLWOOD AVE, COLUMBIA, SC 29205-1257
(803) 256-7481
(803) 748-8602
Mailing address
PO BOX 602684, CHARLOTTE, NC 28260-2684
(803) 256-7481
(803) 748-8602
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
11841
NC
3336C0004X
Compounding Pharmacy
15058
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2090219
PK
—
05
—
729638
—
SC
Enumeration date
10/02/2006
Last updated
12/22/2015
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