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Organization
JBM LLC
Active
Organization
JBM LLC
Active
Other names
YORKVILLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH BOWERS PHARMD (OWNER PIC)
(803) 628-7934
Entity
Organization
Contact information
Practice address
822 E LIBERTY ST STE B, YORK, SC 29745-3501
(803) 628-7934
(803) 628-4194
Mailing address
822 E LIBERTY ST STE B, YORK, SC 29745-3501
(803) 628-7934
(803) 628-4194
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
8824
SC
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092192
PK
—
05
—
7875244
—
SC
Enumeration date
06/28/2005
Last updated
09/03/2019
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