Organization
BABAJI LLC
Active
Other names
Reidville Road Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH RAJKUMAR CHOMAL RPH (AGENT)
(864) 921-8366
Entity
Organization
Contact information
Practice address
2660 REIDVILLE RD STE 8, SPARTANBURG, SC 29301-3512
(864) 921-8366
Mailing address
2660 REIDVILLE RD STE 8, SPARTANBURG, SC 29301-3512
(864) 435-9400
(864) 435-9409
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18290
PHARMACY PERMIT
SC
05
—
718290
—
SC
Enumeration date
11/03/2018
Last updated
06/15/2020
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