# FOWLERS PHARMACY 1 INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FOWLERS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649319039
- **Authorized official:** DAVID MANEY RPH (MANAGER)
- **Authorized official phone:** (864) 288-5920

## Contact information

- **Practice address:** 1908 LAURENS RD, GREENVILLE, SC 29607-2913
- **Practice address phone:** (864) 288-5920
- **Practice address fax:** (864) 288-9218
- **Mailing address:** 1908 LAURENS RD, GREENVILLE, SC 29607-2913
- **Mailing address phone:** (864) 288-5920
- **Mailing address fax:** (864) 288-9218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 9537 | SC | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 12/02/2016
