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Organization
SMITHS DRUG STORE NO 2 INC
Active
Organization
SMITHS DRUG STORE NO 2 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LELAND BRUCE MCCOY (PHARMACIST IN CHARGE)
(864) 582-8474
Entity
Organization
Contact information
Practice address
441 EAST HENRY STREET, SPARTANBURG, SC 29302
(864) 582-8474
(864) 582-4186
Mailing address
441 EAST HENRY STREET, SPARTANBURG, SC 29302
(864) 582-8474
(864) 582-4186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
421600
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4211859
NABP NUMBER
SC
05
—
716000
—
SC
Enumeration date
10/04/2006
Last updated
08/22/2020
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