# PAWLEYS ISLAND PHARMACY OF LITCHFIELD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PAWLEYS ISLAND PHARMACY OF LITCHFIELD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467851501
- **Authorized official:** GLENN COX (PRESIDENT)
- **Authorized official phone:** (843) 314-0498

## Contact information

- **Practice address:** 115 WILLBROOK BLVD UNIT A, PAWLEYS ISLAND, SC 29585-6542
- **Practice address phone:** (843) 314-0498
- **Practice address fax:** (843) 314-0580
- **Mailing address:** 115 WILLBROOK BLVD, UNIT A, PAWLEYS ISLAND, SC 29585-6541
- **Mailing address phone:** (843) 314-0498
- **Mailing address fax:** (843) 314-0580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 15334 | SC | Yes |

## Other

- **Enumeration date:** 08/14/2014
- **Last updated:** 12/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2146714 | PK | — |