Organization
WILLIAMSTON PHARMACY LLC
Active
Other names
Vistara Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DESERIO (MANAGER)
(864) 301-8441
Entity
Organization
Contact information
Practice address
10 N HAMILTON ST, WILLIAMSTON, SC 29697-1536
(864) 301-8441
Mailing address
10 N HAMILTON ST, WILLIAMSTON, SC 29697-1536
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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