Organization
BRIDGERS DRUG STORE & GIFTS LLC
Active
Other names
Bridgers Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT A HASTY PHARMD (OWNER)
(843) 423-2682
Entity
Organization
Contact information
Practice address
305 N MAIN ST, MARION, SC 29571-3027
(843) 423-2682
(843) 423-2429
Mailing address
PO BOX 850, MARION, SC 29571-0850
(843) 423-2682
(843) 423-2429
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4205503
—
SC
Enumeration date
05/16/2006
Last updated
10/24/2020
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