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Organization
PIGGLY WIGGLY LAKE CITY INC
Active
Organization
PIGGLY WIGGLY LAKE CITY INC
Active
Other names
PIGGLY WIGGLY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SPENCER MCGILL PLAYER RPH (MGR)
(843) 394-3121
Entity
Organization
Contact information
Practice address
269 N RON MCNAIR BLVD, LAKE CITY, SC 29560-2437
(843) 394-3121
(843) 394-2551
Mailing address
269 N RON MCNAIR BLVD, LAKE CITY, SC 29560-2437
(843) 394-3121
(843) 394-2551
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13328
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275729444
—
SC
Enumeration date
08/23/2012
Last updated
08/23/2012
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