Organization
MOON'S DRUG STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY L SMITH (OWNER/RPH)
(864) 647-5941
Entity
Organization
Contact information
Practice address
132 E MAIN ST, WESTMINSTER, SC 29693-1753
(864) 647-5941
(864) 647-2906
Mailing address
132 E MAIN ST, WESTMINSTER, SC 29693-1753
(864) 647-5941
(864) 647-2906
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50002242
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4212748
NCPDP OR NABP
SC
Enumeration date
01/24/2007
Last updated
07/17/2023
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