Organization
ORANGEBURG PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA S GRAMLING PHARMACY (OWNER)
(803) 534-2226
Entity
Organization
Contact information
Practice address
1425 RUSSELL ST, ORANGEBURG, SC 29115-6070
(803) 534-2226
(803) 531-2837
Mailing address
1425 RUSSELL ST, ORANGEBURG, SC 29115-6070
(803) 534-2226
(803) 531-2837
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50001812
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
603617
—
SC
Enumeration date
03/08/2007
Last updated
08/22/2020
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