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Organization
BLACKVILLE HEALTH INVESTORS
Active
Organization
BLACKVILLE HEALTH INVESTORS
Active
Other names
DANIELS PHARMACY of Blackville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE F MCHUGH BS PHARMACY (PRES)
(803) 284-3372
Entity
Organization
Contact information
Practice address
19354 SOLOMON BLATT AVE N, BLACKVILLE, SC 29817-2304
(803) 284-3372
(803) 284-3372
Mailing address
19354 SOLOMON BLATT AVE N, BLACKVILLE, SC 29817-2304
(803) 284-3372
(803) 284-3372
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
14328
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821186461
—
SC
01
—
4211164
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/10/2006
Last updated
01/30/2013
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