Organization
SUP - RX PHARMACY #92
Active
Other names
Suprx Pharmacy # 92
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BRYAN MOODY RPH (PIC)
(843) 673-9107
Entity
Organization
Contact information
Practice address
1945 W PALMETTO ST, FLORENCE, SC 29501-3919
(843) 673-9107
(843) 673-9109
Mailing address
PO BOX 3238, 1945 WEST PALMETTO ST SUITE 32, FLORENCE, SC 29501-3919
(843) 673-9107
(843) 673-9109
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
01/03/2013
Last updated
02/25/2013
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