Organization
LONGS DRUGSTORES OF SC INC
Active
Other names
LONGS MILLWOOD DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL FROST BS (DIRECTOR OF BUSINESS DEV)
(404) 583-6945
Entity
Organization
Contact information
Practice address
2801 MILLWOOD AVE, COLUMBIA, SC 29205-1257
(803) 256-7481
(803) 748-8602
Mailing address
PO BOX 602684, CHARLOTTE, NC 28260-2684
(803) 256-7481
(803) 748-8602
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11841
NC
3336C0004X
Compounding Pharmacy
15058
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2090219
PK
—
05
—
729638
—
SC
Enumeration date
10/02/2006
Last updated
12/22/2015
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