# PARKER ROAD DRUGS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891879854
- **Authorized official:** JOHN PETRICH (OWNER AND PRESIDENT)
- **Authorized official phone:** (864) 419-8563

## Contact information

- **Practice address:** 1319 WOODSIDE AVE, GREENVILLE, SC 29611-3738
- **Practice address phone:** (864) 232-4662
- **Practice address fax:** (864) 271-5276
- **Mailing address:** 1319 WOODSIDE AVE, GREENVILLE, SC 29611-3738
- **Mailing address phone:** (864) 232-4662
- **Mailing address fax:** (843) 271-5276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 50002610 | SC | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 10/06/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4217724 | OTHER ID NUMBER | — |
| 05 | — | 726101 | — | SC |