Organization
SKRIP SHOPPE 2 LLC
Active
Other names
Skrip Shoppe Compounding Pharmacy 2
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BLIZZARD (OWNER)
(803) 764-2408
Entity
Organization
Contact information
Practice address
3907 EDMUND HWY STE A, WEST COLUMBIA, SC 29170-1944
(803) 764-2408
(803) 888-6123
Mailing address
3907 EDMUND HWY STE A, WEST COLUMBIA, SC 29170-1944
(803) 764-2408
(803) 888-6123
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
16455
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159437
PK
—
Enumeration date
04/06/2016
Last updated
04/12/2016
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