# LONGS DRUGSTORES OF SC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LONGS KILBOURNE RD PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538252671
- **Authorized official:** MARSHALL FROST BS (DIRECTOR OF BUSINESS DEV)
- **Authorized official phone:** (404) 583-6945

## Contact information

- **Practice address:** 630 KILBOURNE RD, COLUMBIA, SC 29205-2827
- **Practice address phone:** (803) 254-4619
- **Practice address fax:** (803) 765-0466
- **Mailing address:** PO BOX 602682, CHARLOTTE, NC 28260-2682
- **Mailing address phone:** (803) 254-4619
- **Mailing address fax:** (803) 765-0466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 15057 | SC | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 05/15/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1538252671 | — | SC |
| 01 | — | 2090209 | PK | — |