Organization
HUSAM BADR
Active
Other names
SAM PHARMACY AND HEALTH FOOD
Organization subpart
No
Provider details
NPI number
Authorized official
HUSAM BADR (OWNER)
(864) 233-9532
Entity
Organization
Contact information
Practice address
1803 AUGUSTA ST STE F, GREENVILLE, SC 29605-2980
(864) 233-9532
(864) 233-2075
Mailing address
1803 AUGUSTA ST STE F, GREENVILLE, SC 29605-2980
(864) 233-9532
(864) 233-2075
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3416
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2090803
PK
—
05
—
734167
—
SC
Enumeration date
01/19/2007
Last updated
11/04/2016
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