Organization
MILRUSH, LLC
Active
Other names
GREAT FALLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LEE MILHORN II PHARMD (PHARMACIST)
(803) 482-2249
Entity
Organization
Contact information
Practice address
503 CHESTER AVENUE, GREAT FALLS, SC 29055
(803) 482-2249
(803) 482-3349
Mailing address
503 CHESTER AVENUE, SUITE A, GREAT FALLS, SC 29055
(803) 482-2249
(803) 482-3349
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
13459
SC
Other
Enumeration date
05/29/2007
Last updated
10/19/2011
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