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Organization
LATTA DRUG COMPANY, INC.
Active
Organization
LATTA DRUG COMPANY, INC.
Active
Other names
LATTA DRUG COMPANY INC
Organization subpart
No
Provider details
NPI number
Authorized official
BRYANT BROWN RPH (OWNER PHCST)
(843) 752-0023
Entity
Organization
Contact information
Practice address
106 E MAIN ST, LATTA, SC 29565-1617
(843) 752-0023
(843) 752-0062
Mailing address
106 E MAIN ST, LATTA, SC 29565-1617
(843) 752-0023
(843) 752-0062
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
50006173
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092085
PK
—
05
—
761731
—
SC
Enumeration date
05/17/2006
Last updated
02/28/2017
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