Organization
LONGS DRUGSTORES OF SC INC
Active
Other names
LONGS PHARMACY AT GATEWAY
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL FROST PHARMD (DIRECTOR OF BUSINESS DEV)
(404) 583-6945
Entity
Organization
Contact information
Practice address
8810 FARROW RD, STE C, COLUMBIA, SC 29203-8802
(803) 736-5975
(803) 419-7333
Mailing address
PO BOX 602680, CHARLOTTE, NC 28260-2680
(803) 736-5975
(803) 419-7333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
15056
SC
3336C0003X
Community/Retail Pharmacy
Primary
11840
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2091803
PK
—
05
—
751834
—
SC
Enumeration date
10/03/2006
Last updated
12/22/2015
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