Organization
PELHAM ROAD PHARMACY INC
Active
Other names
PELHAM ROAD PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR PATEL RPH (PHARMACIST IN CHARGE)
(864) 234-5890
Entity
Organization
Contact information
Practice address
800B PELHAM RD, GREENVILLE, SC 29615-3300
(864) 234-5890
(864) 234-5891
Mailing address
800B PELHAM RD, GREENVILLE, SC 29615-3300
(864) 234-5890
(864) 234-5891
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2040
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089695
PK
—
05
—
720401
—
SC
Enumeration date
08/10/2006
Last updated
05/26/2016
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