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Organization
SOUTH CAROLINA ERICA, INC.
Active
Organization
SOUTH CAROLINA ERICA, INC.
Active
Other names
Food Basket Pharmacy #4
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA JOYCE ROE RPH (DIRECTOR, RX SERVICE)
(325) 658-6551
Entity
Organization
Contact information
Practice address
104 N 2ND ST, ALPINE, TX 79830-4702
(432) 837-1994
(432) 837-2235
Mailing address
104 N 2ND ST, ALPINE, TX 79830-4702
(432) 837-1994
(432) 837-2235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145114
—
TX
Enumeration date
01/16/2007
Last updated
08/22/2020
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