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Organization
DTM PHARMACY, LLC
Active
Organization
DTM PHARMACY, LLC
Active
Other names
DTM Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VERNON MOTLOW (OFFICE MANAGER)
(864) 879-4662
Entity
Organization
Contact information
Practice address
127 MILLS AVE, SUITE 1, GREER, SC 29651-2514
(864) 879-4662
(864) 479-4938
Mailing address
127 MILLS AVE, SUITE 1, GREER, SC 29651
(864) 879-4662
(864) 479-4938
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
17292
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169912
PK
—
Enumeration date
06/21/2017
Last updated
06/21/2017
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