Organization
ROCHE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F. ROCHE,JR. RPH (PHARMACIST)
(803) 694-2445
Entity
Organization
Contact information
Practice address
68 MAIN ST, WHITMIRE, SC 29178-1399
(803) 694-2445
(803) 694-2013
Mailing address
PO BOX 277, WHITMIRE, SC 29178-0277
(803) 694-2445
(803) 694-2013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5975
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4207139
NCCPDP(NABP) PROVIDER NUM
—
05
—
710674
—
SC
Enumeration date
03/14/2006
Last updated
01/03/2022
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