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Organization
BUFORD ST DRUG STORE
Active
Organization
BUFORD ST DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BRADFORD BAILEY PHARM D (OWNER)
(864) 488-3036
Entity
Organization
Contact information
Practice address
113 W BUFORD ST, GAFFNEY, SC 29340-3001
(864) 488-3036
(864) 488-0316
Mailing address
113 W BUFORD ST, GAFFNEY, SC 29340-3001
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50006358
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4223929
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
763581
—
SC
Enumeration date
07/22/2006
Last updated
06/22/2022
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