Organization
ORANGE CUT RATE DRUG STORE, INC
Active
Parent organization
ORANGE CUT RATE DRUG STORE, INC
Other names
Grove Park Pharmacy Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORANGE CUT RATE DRUG STORE, INC
Authorized official
MR. CHARLES PAGE THOMPSON JR. RPH (OWNER)
(803) 536-0007
Entity
Organization
Contact information
Practice address
1326 GROVE PARK DR, ORANGEBURG, SC 29115
(803) 536-0007
(803) 536-2962
Mailing address
PO BOX 701, ORANGEBURG, SC 29116-0701
(803) 536-0007
(803) 536-2962
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
11/08/2018
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