Organization
NOTTAP INC
Active
Other names
BUFORD ST DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL BRADFORD BAILEY (OWNER/PHARM D.)
(864) 488-3036
Entity
Organization
Contact information
Practice address
115 N GRANARD ST, GAFFNEY, SC 29341-2342
(864) 488-3036
(864) 488-0316
Mailing address
115 N GRANARD ST, GAFFNEY, SC 29341-2342
(864) 488-3036
(864) 488-0316
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
6358
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092104
PK
—
05
—
763581
—
SC
Enumeration date
11/02/2006
Last updated
08/09/2024
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