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Organization
HARLEYVILLE DRUG LLC
Active
Organization
HARLEYVILLE DRUG LLC
Active
Other names
Harleyville Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA WESTBURY (OWNER)
(843) 563-1010
Entity
Organization
Contact information
Practice address
108 W MAIN ST, HARLEYVILLE, SC 29448-3700
(843) 462-7646
(843) 462-7646
Mailing address
701 N PARLER AVE, SAINT GEORGE, SC 29477-2233
(843) 563-9384
(843) 563-9386
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
17297
SC
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2171907
PK
—
05
—
717297
—
SC
Enumeration date
06/20/2017
Last updated
07/19/2018
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