Organization
PUGH DRUG INC
Active
Other names
PROSPERITY DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PUGH PHARMD RPH (PRESIDENT PIC)
(803) 364-2310
Entity
Organization
Contact information
Practice address
101 N MAIN ST, PROSPERITY, SC 29127
(803) 364-2310
(803) 364-2311
Mailing address
PO BOX 147, PROSPERITY, SC 29127-0147
(803) 364-2310
(803) 364-2311
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8757
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2088181
PK
—
05
—
787575
—
SC
Enumeration date
06/20/2006
Last updated
06/09/2014
Update your record
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