# PEAK PHARMACY INC

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

## Provider details

- **NPI number:** 1922029644
- **Authorized official:** MRS. MARY JO SMITH DYCHES RPH. (OWNER/PIC)
- **Authorized official phone:** (803) 345-1707

## Contact information

- **Practice address:** 22 RIVER STREET, PEAK, SC 29122
- **Practice address phone:** (803) 345-1707
- **Practice address fax:** (803) 345-8952
- **Mailing address:** PO BOX 39, 22 RIVER STREET, PEAK, SC 29122
- **Mailing address phone:** (803) 345-1707
- **Mailing address fax:** (803) 345-8952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 50000529 | SC | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 06/23/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4206050 | NABP | — |
| 05 | — | 705291 | — | SC |