Organization
PHARMACY EXPRESS DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE H SIMMONS RPH (PHARMACIST IN CHARGE OWNER)
(843) 665-9199
Entity
Organization
Contact information
Practice address
209C SOUTH GRIFFIN ST, FLORENCE, SC 29506
(843) 665-9199
(843) 667-0585
Mailing address
209C SOUTH GRIFFIN ST, FLORENCE, SC 29506
(843) 665-9199
(843) 667-0585
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
500009686
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033207493
NPI
SC
01
—
4225098
OTHER ID NUMBER
—
05
—
796865
—
SC
Enumeration date
10/11/2006
Last updated
08/19/2008
About Stedi
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