# PIGGLY WIGGLY \#35

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

## Provider details

- **NPI number:** 1760589600
- **Authorized official:** W R MCLEOD RPH (OWNER)
- **Authorized official phone:** (803) 775-1334

## Contact information

- **Practice address:** 842 S 5TH ST, HARTSVILLE, SC 29550-5697
- **Practice address phone:** (843) 332-0762
- **Practice address fax:** (843) 383-9576
- **Mailing address:** 842 S 5TH ST, HARTSVILLE, SC 29550-5697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 50008929 | SC | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4213106 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 718178 | — | SC |