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Organization
PARKER ROAD DRUGS, INC
Active
Organization
PARKER ROAD DRUGS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PETRICH (OWNER AND PRESIDENT)
(864) 419-8563
Entity
Organization
Contact information
Practice address
1319 WOODSIDE AVE, GREENVILLE, SC 29611-3738
(864) 232-4662
(864) 271-5276
Mailing address
1319 WOODSIDE AVE, GREENVILLE, SC 29611-3738
(864) 232-4662
(843) 271-5276
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
50002610
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4217724
OTHER ID NUMBER
—
05
—
726101
—
SC
Enumeration date
10/25/2006
Last updated
10/06/2011
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