Organization
PIGGLY WIGGLY OF LAMAR LLC
Active
Other names
Piggly Wiggly Pharmacy #196
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER DAIL PHARMD (PHARMACIST)
(843) 326-5231
Entity
Organization
Contact information
Practice address
100 N RAILROAD AVE, LAMAR, SC 29069-9726
(843) 326-5231
(843) 326-5068
Mailing address
100 N RAILROAD AVE, LAMAR, SC 29069-9726
(843) 326-5231
(843) 326-5068
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15465
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152740
PK
—
Enumeration date
01/02/2007
Last updated
02/20/2017
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