# LONGS DRUGSTORES OF SC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LONGS MILLWOOD DRUGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316030190
- **Authorized official:** MARSHALL FROST BS (DIRECTOR OF BUSINESS DEV)
- **Authorized official phone:** (404) 583-6945

## Contact information

- **Practice address:** 2801 MILLWOOD AVE, COLUMBIA, SC 29205-1257
- **Practice address phone:** (803) 256-7481
- **Practice address fax:** (803) 748-8602
- **Mailing address:** PO BOX 602684, CHARLOTTE, NC 28260-2684
- **Mailing address phone:** (803) 256-7481
- **Mailing address fax:** (803) 748-8602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 11841 | NC | Yes |
| 3336C0004X | Compounding Pharmacy | 15058 | SC | — |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 12/22/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2090219 | PK | — |
| 05 | — | 729638 | — | SC |