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Organization
GJS INC
Active
Organization
GJS INC
Active
Other names
CHILDRENS PHARMACY OF EASLEY
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA CROWE RPH (OWNER AND PHARM)
(864) 859-0768
Entity
Organization
Contact information
Practice address
800 N A ST, EASLEY, SC 29640-2144
(864) 859-0768
(864) 855-5030
Mailing address
800 N A ST, EASLEY, SC 29640-2144
(864) 859-0768
(864) 855-5030
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
4151
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000077356
—
SC
01
—
4217483
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/26/2006
Last updated
02/12/2013
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