Organization
PARKWAY DISCOUNT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAYODE SIKIRU ODEDIRAN PHARMACIST (OWNWER)
(843) 399-9800
Entity
Organization
Contact information
Practice address
2126 HIGHWAY 9 E, BLDG D SUITE 9, LONGS, SC 29568-5725
(843) 399-9800
Mailing address
2126 HIGHWAY 9 E, BLDG D SUITE 9, LONGS, SC 29568-5725
(843) 399-9800
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
15212
SC
3336C0003X
Community/Retail Pharmacy
15212
SC
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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