Organization
MCLESKEY-TODD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALLEN (PIC)
(864) 877-0753
Entity
Organization
Contact information
Practice address
12 23RD ST, GREER, SC 29651-3848
(864) 877-0847
Mailing address
12 23RD ST, GREER, SC 29651-3848
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
12210
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-03095
SCDHEC-BUREAU OF DRUG CON
SC
05
—
730956
—
SC
Enumeration date
01/23/2007
Last updated
03/07/2023
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